Domestic Energy Survey
Survey Form
1. Consumer Details
a. Name of Consumer
b. Number of Family Members
c. Whether own building or Rental Basis
2. House building details (draw Building Plan in top view in the last page)
A. House building type
b. No. of floors and total floor area
c. Total building area
3. Electricity Connection details
a. Consumer Number
b. Name of Electrical section
c. Connected Load in Watts
d. Connection phase (Three/single)
e. Last month bill amount Rs.
f. Last month energy consumption
(kWh or units)
g. Average energy consumption (kWh
or units)
4. Electrical Installation Details
a. Type of Earthing
b. Control Systems
c. No. of MCBs
d. Type of Energy meter
5. Light Loads
a. Ordinary Incandescent Bulbs
Type 15 W 25W 40W 60W 100W
Numbers
Make
Daily Usage in hrs.
b. C.F.L.
Type 5-8 W 10-15 W 18-20 W 20 W & Above
(specify Wattage)
Numbers
Make
Daily Usage in hrs.
c. Fluorescent Tube
Type T 12/ T8 T 12/ T8 With T5
With Electromagnetic Electronic Choke
Ballast
Numbers
Make
Daily Usage in hrs.
d. LED
Type 1-3 W 5-7 W 9-10 W 20 W & Above (specify
Wattage)
Numbers
Make
Daily Usage in hrs.
6. Fan
a. Ceiling Fan
Room Type Corridor Hall Dining room Bedrooms Kitchen Others
Numbers
Make
Power
Consumption
Type of Regulator
(resistive/
Electronic)
Daily Usage in hrs.
Year of purchase
b. Table Fan
Room Type Corridor Hall Dining Bedrooms Kitchen Others
room
Numbers
Make
Power
Consumptio
n (Watts)
Daily
Usage in
hrs.
Year of
purchase
c. Reuse of fan after rewinding □Yes ✓No
7. Television
Type CRT LCD/ LED
Numbers
Make
Daily Usage in hrs.
Year of purchase
Power Consumption (Watts)
8. Refrigerator
Type Single Door Double Door
Numbers
Make
Start Rating
Year of purchase
Power Consumption (Watts)
9. Air Conditioner:
Type Window Type Split Type
Numbers
Make
Capacity in TR
Set Temperature
Room Size (l*b*h)
Star Rating
No of operating days in a month
Operating Hours in a day
Year of purchase
Power Consumption (Watts)
10. Washing Machine
Type Top Loading Front
Loading
Fully Semi-
Automatic Automatic
Capacity in Kg
Make
Operating Hours in a week
Star Rating
Year of purchase
Power Consumption (Watts)
11. Water Heater:
Type
Automatic Manual
Capacity in kW
Operating Hours in a day
Star Rating
Year of purchase
12. Water Pump
Type Normal Submersible pump
Capacity in HP
Make
Operating Hours in a day
Power Consumption (Watts)
Start Rating
Year of purchase
Whether Rewinding done (Yes /No)
Water Tank Capacity (Liters)
Time required to fill the tank in minutes
13. Induction Cooker
Power Consumption (Watts):
Operating Hours in a Below half an Maximum 1 hour Maximum Above 2 hours
day (Tick Appropriate) hour 2 hours
14. Mixer
Power Consumption (Watts):
Operating Hours in a Below half an Maximum 1 hour Maximum Above 2 hours
day (Tick Appropriate) hour 2 hours
15. Grinder
Power Consumption (Watts) :
Operating Hours in a Below half an Maximum 1 hour Maximum Above 2 hours
day (Tick Appropriate) hour 2 hours
16. Iron box
Power Consumption (Watts) :
Operating Hours in a Below half an Maximum 1 hour Maximum 2 Above 2
day (Tick Appropriate) hour hours hours
17. Vacuum Cleaner
Power Consumption (Watts) : …
Operating Hours in a Below half an Maximum 1 hour Maximum 2 Above 2
day (Tick Appropriate) hour hours hours
18. Microwave Oven
Power Consumption (Watts) : …
Operating Hours in a Below half an Maximum 1 hour Maximum 2 Above 2
day ( Tick Appropriate) hour hours hours
19. Dish Wash Power Consumption (Watts) :
Operating Hours in a Below half an Maximum 1 hour Maximum Above 2 hours
day (Tick Appropriate) hour 2 hours
20. Home Theatre
Power Consumption (Watts) :
Operating Hours in a Below half an Maximum 1 hour Maximum Above 2 hours
day ( Tick Appropriate) hour 2 hours
21. Computer/Laptop
Power Consumption (Watts) :
Operating Hours in a Below half an Maximum 1 hour Maximum 2 Above 2
day (Tick Appropriate) hour hours hours
22. Printer
Power Consumption (Watts) :
Operating Hours in a Below half an Maximum 1 hour Maximum 2 Above 2
day (Tick Appropriate) hour hours hours
23. Electric Vehicle
Power Consumption (Watts) :
Operating Hours in a Below half an Maximum 1 hour Maximum 2 Above 2
day ( Tick Appropriate) hour hours hours
24. Any other loads
Name Power Below half Maximum 1 Maximum
consumption an hour hour 2 hours
(in watts)
Calling Bell
Emergency Light
Torch
25. Whether using inverter:
Capacity (KVA/KW)
Battery Capacity in Ah
No of Batteries
Inverter Type (Square wave/ Sine wave)
Year of purchase
26. Use of Solar Energy Systems
Item Usage (Yes/ No) Capacity
Solar Lantern (Capacity in Watts)
Solar Water Heater (In LPD)
Solar Photovoltaic System (In Kilowatts )
27. Cooking Gas
Consumer Number Supplier Usage of I cylinder in days
28. Automobile Vehicles
Type of Vehicle Consumption of Petrol Consumption of Diesel
Bike
Bike
Car
29. Use of Biogas
Type of Plant Capacity Year of Installation
30. Total Energy Consumed:
