Harvard University Divinity School Rockefeller Hall Eq Credit 7.2 - Thermal Comfort: Verification Page 4

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Thermal Environmental Survey
To Be Filled By Occupant
1. Occupant’s Room Number (Optional):
2. Date:
3. Time:
4.
Occupants Clothing
Please refer to Table 1. Place a check mark next to the articles of clothing that you are currently wearing as you fill out this
sheet. If you are wearing articles of clothing not listed in the table, please enter them into the space provided below
Article:
Article:
5.
Occupant Activity Level (Check the one that is most appropriate)
 Reclining
1.
 Reading Seated, Keyboarding or other light physical activity
2.
 Standing, Relaxed
3.
 Light Activity, Standing
4.
 Medium Activity, Standing
5.
 High Activity
6.
6. Equipment (Equipment adding or taking away from the heat load.)
Item (copiers, fans, etc.)
Quantity
7. General Thermal Comfort (Check the one that is most appropriate)
+3  Very satisfied
+2  Satisfied
+1  Somewhat satisfied
0  Neutral
 Somewhat dissatisfied
-1
 Dissatisfied
-2
 Very dissatisfied
-3
General Environment Comments:
TABLE 1
Clothing Ensembles
Description
Trousers, short-sleeve shirt/blouse
Trousers, long-sleeve shirt/blouse
Trousers, long-sleeve shirt/blouse plus suit jacket
Trousers, long-sleeve shirt/blouse plus suit jacket, vest, T-shirt
nd
Trousers, long-sleeve shirt/blouse plus long sleeve sweater or other 2
top layer, T-shirt
nd
Trousers, long-sleeve shirt/blouse plus long sleeve sweater or other 2
top layer, T-shirt pus suit jacket, long
underwear bottoms
Knee-length skirt/shorts, short-sleeve shirt/blouse (sandals)
Knee-length skirt/shorts, long-sleeve shirt
nd
Knee-length skirt/shorts, long-sleeve shirt, long-sleeve sweater or other 2
top layer
Ankle-length skirt/shorts, long sleeve shirt, suit jacket
Athletic sweat pants, long-sleeve sweatshirt
Other:

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