Electric Vehicle Readiness Survey

Electric Vehicle Readiness Survey
Help us assess your preparedness and attitudes toward adopting an electric vehicle.
Your Full Name
First NameLast Name
Email Address
example@example.com
Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Address (for context on charging feasibility)
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
What type of vehicle do you currently own or primarily use?
Other
How many miles do you typically drive per day?
Do you have access to off-street parking where you could install a charging station?
Other

Please indicate your level of agreement with the following statements about electric vehicles:

Rows	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
I am familiar with how electric vehicles work.
I am concerned about the driving range of electric vehicles.
I believe electric vehicles are environmentally friendly.
I would consider purchasing an electric vehicle in the next 5 years.

How would you rate your knowledge of electric vehicle charging infrastructure in your area?
What are your main concerns or barriers regarding electric vehicle ownership? (Select all that apply)
Other
Which incentives would most encourage you to consider an electric vehicle? (Select up to 3)
Other
Please share any additional comments or questions about electric vehicles.
Should be Empty:

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