Electric Vehicle Suitability Assessment Form
Please answer the following questions to help determine if an electric vehicle is a good fit for your needs.
What is your average daily driving distance?
*
Less than 20 miles (32 km)
20–50 miles (32–80 km)
51–100 miles (81–161 km)
Over 100 miles (161+ km)
Do you have regular access to a parking spot where you could install a home charger?
*
Yes, private driveway/garage
Yes, assigned parking spot
No, only street parking
No regular parking
How familiar are you with electric vehicles and their features?
*
Not at all familiar
1
2
3
4
Very familiar
5
1 is Not at all familiar, 5 is Very familiar
How important is environmental impact in your vehicle choice?
*
Not important
1
2
3
4
Extremely important
5
1 is Not important, 5 is Extremely important
What is your primary motivation for considering an electric vehicle?
*
Environmental concerns
Lower running costs
Interest in new technology
Other
How often do you take long-distance trips (over 150 miles/240 km in one day)?
*
Rarely or never
A few times a year
Once a month
Weekly or more
Rate your willingness to adapt your daily routine for charging an electric vehicle.
*
Not willing
1
2
3
4
Very willing
5
1 is Not willing, 5 is Very willing
How would you describe your access to public charging stations?
*
Many stations nearby and convenient
A few stations within reasonable distance
Stations are far or inconvenient
I'm not sure
Please rate your agreement with the following statements regarding electric vehicles.
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I am comfortable with new technology in vehicles.
1
2
3
4
5
I am concerned about vehicle maintenance costs.
6
7
8
9
10
I am willing to plan trips around charging stops.
11
12
13
14
15
Is there anything else you would like to share about your vehicle needs or preferences?
Submit Assessment
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