Residential Solar Survey

Today's Date / Time

Date

Time

Full Name *

First

Last

solar / provide

Do you own your home? *

In what New York region is your home located?

Is your home powered by solar energy?

For how many years have you owned a solar energy system?

If you own a solar energy system, what do you believe are the main benefits of solar?

Would you like to learn more about the Government incentives for going solar? (If so, please provide your contact information below.)

Would you like a free quote for solar installation? (If so, please provide your contact information below.)

Phone Number

Email Address