This feedback form collects information about a household's electricity consumption and asks questions to assess knowledge about energy conservation. It collects the household service connection number, recent bi-monthly electricity consumption and billing amounts. It asks what energy conservation measures could be taken, expected savings, and contact information for queries. Multiple choice questions test knowledge about efficient bulbs, earth leakage circuit breakers, reducing usage, refrigerator usage, appliance star ratings, water heater types, sunny days in the city, bill payment methods, switching off appliances correctly, and the vision of "Powerful Kovai" as transforming Coimbatore into an energy conserved city.

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POWERFUL KOVAI
FEED BACK FORM
ØÃBì :
Name
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Class
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School
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10 Digit House service Connection Number
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VÄö :
(RMâ|ï¹_)
Bi-monthly Consumption (in Units)
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Bi-monthly Billing Amount (Average)
(Vìß / °© _ 2010 x>_ ¸© kö / Vìß 2011 kç«
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(March /April 2010 to Feb/Mar 2011)
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Measures to be taken for energy Conservation
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Expected savings in monthly
Energy Consumption
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Student's Signature Parent's Signature
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For any queries contact : 94458-51286 / 98946-12080 (If necessary add Additional sheet)

2. Choose ( )the Right Answer
1. Which of the following bulbs are energy efficient and environmental friendly?
a) Incandescent bulbs
b) Sodium Vapour Lamp
c) Compact Fluorescent Lamps (CFL)
2. Earth Leakage Circuit Breaker is used
a) To avoid excess electricity usage
b) To switch OFF/ON an electrical appliance
c) To protect human beings from electrical shocks
3. Excess usage of electricity in our house can be reduced by
a) Parents only
b) Electricity Department
c) All the members of the family
4. Frequent opening and closing of refrigerators will
a) Save electricity
b) Consume more electricity
c) No change in electricity consumption
5. Star rating of an electrical appliance indicates
a) Cheaper in cost
b) Energy Efficiency
c) Durability
6. Which of the following Water Heater does not require electricity?
a) Geyser
b) Immersion Heater
c) Solar Water Heater
7. How many average sunny days are available in our city?
a) 365 days
b) 150-200 days
c) 300-350 days
8. Electricity Bills can be paid through
a) Computerized Post Offices c) EB Offices
b) On Line Payment d) All the above
9. Correct Way of Switching off Electrical Appliances is
a) Switching off through Remote Control
b) Switching off through wall switches
10. The vision of “ Powerful Kovai ” is
a) Not to use any electrical appliance
b) To Transform Coimbatore as an Energy Conserved City
This form can be downloaded from www.tneb.in