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NEIGHBORHOOD ENERGY QUESTIONNAIRE

 Building ID (name or #)

 Type of energy

(electricity, gas, fuel oil, wood, other)

 Source of Energy

(solar, fossil fuel -coal/oil/gas; generators; nuclear; don't know)

 Country or region from which it was derived

 Predictions of How Long Resource Will Last

(10, 20, 100, 1000 years, forever)

         
         
         
         
         
         
         
         
         
         
         
         
         
         

 Vehicle ID (name or #)

 Type of energy

(gasoline/petroleum; diesel)

 Source of Energy   Country or region from which it was derived  Predictions of How Long Resource Will Last
         
         
         
         
         
         
         
         
         
         
         
         
         
         


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