Covington Electric Cooperative

We've designed this consumer data sheet so it will take you no more than three minutes to complete. We will use this information to help improve our service to you. The information will be used only by Covington Electric Cooperative and will not be sold or distributed to other firms. Please check one answer unless otherwise specified. Thank you for your participation.
First Name
Last Name
Address

   City
 State
 Zip
  
Phone
*Include Area Code*
   Account Number
* If Known*
    		 
           

YOUR HOME
1. Do you own or rent your home?
Own       Rent
 
2. Which best describes your account?
Single Family Residence
Apartment / Duplex
Farm		 Mobile Home
Vacation / Seasonal home
Non-residence
 
3. What fuel does your water heater use? 
Electricity
Propane 		Natural Gas
Other
 
4. What is your home's main source of heat?
Electricity
Propane
Fuel Oil		 Natural Gas
Wood
Other
 
5. What type of heating system do you have? (Check all that apply)
Heat Pump
Baseboard Heat
Furnace		 Standard Heat Pump
Space Heater
Other
 
6. What type of air conditioning system do you have?  
Heat Pump
Central Air
Window Unit
 Other
None
 
OTHER INFORMATION
7. How many people live in your home?  
1
2
3 		4
5
6 or more
 
8. Are you presently using the Internet?  
Yes No
 
9.   E-mail Address
    *this field is required to submit survey*
 
10. What Internet provider do you use?   
 
11. What is the age of the primary account holder?
Under 25
25 - 34
35 - 44 		45 - 54
55 - 64
65 or over
 
12. What CEC services would you like to know more about?
Internet service Security systems
Surge protection Medical life line
Home improvement loans  
 
13. What radio station do you listen to most often?
93.7 FM WRJM 107.7 FM WFXX
95.5 FM WTVY 860 AM/ 102.3 FM WAMI
96.9 FM WDJR 1350 AM WELB
101.1 FM WZTZ 1150 AM WGEA
103.7 FM WAAO 1290 AM WOPP
106.7 FM WKMX Other
 

14. What local newspaper do you read most often?
Andalusia Star News The Elba Clipper
The Enterprise Ledger The Florala News
Geneva Publications The Luverne Journal
The Opp News The Samson Ledger
Southeast Sun Other