Electronics Charging Safety Questionnaire Form
Help us assess your electronics charging setup and safety practices by answering the following questions.
Your Name
*
First Name
Last Name
What types of electronic devices do you regularly charge at home? (Select all that apply)
*
Smartphone
Tablet
Laptop
Wearable (e.g., smartwatch)
Bluetooth headphones/earbuds
Other
How many charging devices (chargers, docks, or power bricks) do you use regularly?
*
Where do you typically charge your devices?
*
Bedroom
Living room
Kitchen
Home office
Other
Do you charge any devices overnight while you sleep?
*
Yes
No
How often do you leave devices charging unattended?
*
Frequently
Sometimes
Rarely
Never
Do you use any extension cords or power strips for charging?
*
Yes, extension cord
Yes, power strip
No
Are your chargers and cables from original manufacturers or certified brands?
*
All are original/certified
Some are original/certified
None are original/certified
Not sure
Do you use surge protectors or other safety devices for charging?
*
Always
Sometimes
Never
Have you ever experienced any overheating, sparks, or other issues while charging your devices?
*
Yes
No
If you answered yes to the previous question, please describe the issue(s) and any actions taken. If not, type N/A.
*
Submit
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