Massachusetts Farm Energy Program

Questionnaire

This is not an application to the program. Information gathered from this questionnaire represents farmer interest and provides information useful for developing the program. Information will remain confidential and will only be used for this program.

* indicates required field

Contact Information

Best way to reach you *

Questions

Identify the primary agricultural type associated with your farm: *

Identify the secondary agricultural type associated with your farm: *

Identify the tertiary agricultural type associated with your farm: *

Are you currently enrolled in the Farm Energy Discount Program? *

If no, why?

Enter your electric and/or gas rate (Found on your bill - ex. R1, C41, etc.): *

Have you used energy conservation programs through your utility company? *

If yes, when? Within the past

Have you implemented renewable energy on your farm business? *

If yes, when? Within the past

Have you applied for the USDA's Section 9006 Renewable Energy and Energy Efficiency Grants or Guaranteed Loans? *

Were you successful?

Have you applied for MA Technology Collaborative renewable energy grants? *

Were you successful?

Are you interested in finding out more about energy efficiency and renewable energy for your farm? *

Approximate Monthly and/or Annual Energy Bills and End Usage

Please fill out an End Usage Worksheet for all that apply:

Electricity

Natural Gas

#2 Oil

Diesel

Propane

Biolfuels

Indicate unit of measurement entered in previous two questions

** If self, please indicate "self"

Massachusetts Farm Energy Program