Utility Conservation Program Impact Evaluation
About this free form template

Help Us Improve Conservation Programs for Your Community

Your participation in this Utility Conservation Program Impact Evaluation helps your local municipality understand which conservation initiatives are working, where improvements are needed, and how to better serve residents while protecting our shared water and energy resources.

Why This Evaluation Matters

Municipal utility conservation programs play a critical role in sustainable resource management, cost savings for residents, and environmental protection. By participating in this evaluation, you're contributing valuable data that helps:

  • Assess program effectiveness across different household types and usage patterns
  • Identify barriers that prevent residents from adopting conservation measures
  • Improve incentive structures to maximize participation and impact
  • Allocate resources more effectively to programs that deliver results
  • Plan future initiatives based on real community feedback and measured outcomes

What's Involved in This Evaluation

This form combines your direct feedback with authorized analysis of your utility usage data. You'll:

  1. Provide consent for researchers to access your anonymized utility usage data
  2. Share demographic information to help us understand program reach across different community segments
  3. Answer questions about your participation in conservation programs, including which initiatives you've tried
  4. Rate program elements like ease of participation, incentive value, and communication effectiveness
  5. Share your conservation behavior changes and any barriers you've encountered
  6. Provide feedback on what would make conservation programs more appealing or effective for your household

Your responses, combined with usage analysis, create a complete picture of program impact that goes beyond simple enrollment numbers.

Privacy & Data Security

This evaluation is conducted in accordance with municipal privacy policies and research ethics standards. Your utility usage data will be:

  • Anonymized and aggregated with other participants for analysis
  • Used solely for program evaluation and improvement purposes
  • Protected under municipal data security protocols
  • Never shared with third parties for marketing or commercial purposes

Individual responses are confidential, and findings will only be reported in aggregate form.

Incentives for Participation

As a thank you for your time, participants who complete this evaluation may be eligible for:

  • Entry into a drawing for utility bill credits
  • Priority notification of new conservation programs
  • Access to the final evaluation report showing community-wide impact

Your insights are invaluable to creating conservation programs that truly meet the needs of your community while achieving meaningful environmental and cost-saving outcomes.

About Conservation Program Evaluation

Effective utility conservation programs require ongoing measurement and refinement. This evaluation uses a mixed-methods approach combining survey data with quantitative usage analysis to understand:

  • Adoption rates and demographic patterns in program participation
  • Behavior change durability and what drives sustained conservation
  • Cost-effectiveness of different incentive structures
  • Communication effectiveness across different channels and messaging approaches
  • Barrier identification including financial, informational, and practical obstacles

Results from this study will directly inform program adjustments, budget allocation decisions, and the development of new conservation initiatives tailored to what works best in your community.

How Paperform Supports Municipal Engagement

Municipal governments face unique challenges in resident engagement and data collection. Paperform makes it easy to create professional, accessible forms that collect the data you need while respecting privacy and security requirements.

This template demonstrates how Paperform helps local government teams:

  • Combine consent forms with surveys in one streamlined experience
  • Use conditional logic to ask relevant follow-up questions based on participation
  • Collect structured data that's ready for analysis without manual processing
  • Maintain professional appearance that builds trust with residents
  • Ensure accessibility for all community members across devices

For municipalities looking to automate follow-up actions based on responses, Stepper can route completed evaluations to the right departments, trigger thank-you communications, update CRM records, or flag responses that need individual follow-up—all without manual intervention.

Get Started Today

Take 10-15 minutes to complete this evaluation and help shape the future of conservation programs in your community. Your experience and insights make municipal services better for everyone.

Questions about this evaluation? Contact your municipal utility department or the research team using the contact information provided in your invitation.

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suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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