Wood Smoke Reduction Program

First Name

Last Name

Email

Street Address

City/Town

Province
British Columbia
Postal Code

Phone Number

The Original Appliance Being Replaced Is A:
Non-CSA/EPA Certified Wood Stove
Non-CSA/EPA Certified Wood Fireplace Insert
Non-CSA/EPA Certified Wood Furnace
Wood-Burning Cookstove Used For Heating
Other

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Other

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Was The Original Appliance Used For Home Heating Before Replacement?
Yes
No

Appliances that are not installed and in use prior to replacement are not eligible.

The Replacement Heating Appliance Is An:
Electric Heat Pump System
Electric Fireplace Insert
Other Electrical Heating Appliance

[group electric-heat-pump-selected]
Brand:

Model:

Efficiency Rating:

Purchase Price:

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[group electric-fireplace-insert-selected]
Brand:

Model:

Purchase Price:

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[group other-electrical-heating-appliance-selected]
Type Of Heating Appliance:

Brand:

Model:

Purchase Price:

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Name Of Retailer Where You Purchased Your New Appliance

Please attach the following documentation, or email to rebates@atmospheresolutions.ca.
- a photo of the original appliance in place in your home
- a copy of the receipt/invoice for your new appliance
- a receipt from the scrap yard OR confirmation from your new appliance installer that the old appliance was recycled (if they did it on your behalf)

Photo Of Original Appliance:

Copy Of New Appliance Receipt:

Confirmation That Old Appliance Was Recieved:

1.Why do you want to replace your old wood stove (You may choose multiple answers)?
Concerned about wood smoke in my communityMy old woodstove no longer works wellConcerned about indoor air qualitySafety concernsRecommended by building inspection resultsMy old woodstove is not efficient enoughWant to heat my place with less effortFor cleanliness purposeOthers
2.What type of replacement appliance did you choose?
certified wood burning appliancepellet burning appliancegas applianceelectric heat pumpelectric fireplaces insertother heating appliance, please state what kind:
3.How did you find information about the program (You may choose multiple answers)?
Brochure or posterIn-storeNewspaper adsRadio adsWebsite or social media such as FacebookHome inspectors or other qualified personnelOthers, please list them:
4.How often (approximately) did you use your original wood appliance in winter?
Less than 3 times/week3 to 5 times/weekMore than 5 times/weekPrimary heating source
5. How much wood (approximately) do you use in winter?
Less than half cordHalf cord to 1 cord1 cord to 2 cords2 cords to 4 cordsMore than 4 cords
6. What is the total cost of your new appliance including installation fees?
Less than 500$500$ to 1,000$1,000$ to 5,000$5,000$ to 10,000$10,000$ to 20,000$More than 20,000$
7. What does it cost you to dispose of your old wood stove (removal, transportation, recycling)?
Less than 100$100$ to 300$300$ to 500$500$ to 1,000$More than 1,000$
8. How much rebate do you qualify for in total (from the provincial program, local governments,retailers, etc.)
Less than 400$400$ to 800$800$ to 1,600$1,600$ to 2,600$2,600$ to 3,600$More than 3,600$
For the following questions:
1 = strongly disagree, 2 = disagree, 3 = neutral, 4 = agree, 5 = strongly agree
9. Why did you choose this type of replacement? (Please choose all that apply)
a. Appliance was affordable
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b. Cleaner burning/less smoke
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c. Fuel is affordable
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d. It works during a power outage
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e. Convenience
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f. More effective heat (warmer during cold weather)
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g. Includes air conditioning for hot weather (heat pump)
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h. Please add other reasons that are important to you if none of the above applies:
10. How would you rate the process of participating in the community wood smoke reduction
program?
a. It was easy to find all the required information
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b. The information was clear and adequate
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c. It was easy to fill out the application form
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d. The local retailers were very helpful
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e. Did you recycle/destroy your old woodstove (Yes / No)? If yes, It was easy to recycle/destroy the old wood stove
YesNo
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11. How would you rate your overall experience in participating in the program
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Please provide comments or suggestions to improve the program .
12. If you change to a new wood stove, it is mandatory to take the online wood burning course providing your community joins the provincial pilot education project. Did you take the BC Wood
Smoke Education online course at
https://www.fraserbasin.bc.ca/WoodSmokeCourse/story_html5.html ? (yes/No)
YesNo
If yes, please provide your comments on the course:
a. I took about hours to complete the course.
b. I liked the information on wood smoke and health.
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c. I liked the information on clean-burning practices.
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d. I liked the information on rules and regulations.
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e. Overall, the information was interesting and useful. I would recommend it to others.
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f. I did not like the course, because .
g. Any other comments on the course
Respondent Characteristics(optional, if you do not want to provide information, please skip them,
and submit the rest of answers)
13. To which gender identity do you most identify?
a. Male
b. Female
c. If not listed, please indicate
d. Prefer not to answer
14. What is your family income range?
a. Less than 40,000$b. 40,000$ to 80,000$c. 80,000$ to 120,000$d. 120,000$ to 200,000$e. More than 200,000$f. Prefer not to answer