Residential Lighting Inspection Form Name (*required) Email * Address * City * State * Zip * Location 1 * Task in the area: * Dimmable? * YesNo Bulb you are using now: * Hours used per day: * Is it left on or switched on and off a lot? * Left OnSwitched On/Off a lot Are you pleased with the light level? * YesNo Are you pleased with the color? * YesNo Comments: Location 2 * Task in the area: * Dimmable? * YesNo Bulb you are using now: * Hours used per day: * Is it left on or switched on and off a lot? * Left OnSwitched On/Off a lot Are you pleased with the light level? * YesNo Are you pleased with the color? * YesNo Comments: Location 3 * Task in the area: * Dimmable? * YesNo Bulb you are using now: * Hours used per day: * Is it left on or switched on and off a lot? * Left OnSwitched On/Off a lot Are you pleased with the light level? * YesNo Are you pleased with the color? * YesNo Comments: Additional Comments
