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This questionnaire will help us see if your home qualifies for the product pilot trial. Applications are due Friday, Dec 8 at 11:59PM EST.

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* 1. Your Contact information, please.

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* 2. Where should we mail the Switch+ to?

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Let’s make sure your wiring set-up is compatible. If one location isn’t compatible, you can check others.

Let’s make sure your wiring set-up is compatible. If one location isn’t compatible, you can check others.

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* 3. Is your wiring compatible?

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* 4. Please upload a photo of your light switch wall box (to show the wires you have behind your switch). We’ll use these photos to confirm whether you have a neutral wire or not.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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* 5. Where will you likely be placing this light switch?

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* 6. What type of smartphone do you use?

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* 7.

What is the operating system version of your smartphone (example: Android 6.0.1)?
We will use this to determine your smart phone's compatibility with our beta app.

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* 9. What best describes your house?

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* 10. Do you own or rent?

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* 12. What is your Amazon Alexa account e-mail (if you have one)?
We will use this to add you to Amazon Alexa beta skills.

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* 13. Your Apple ID (for iPhone users) or  Google ID (for Android users).
We will use this to provide you access to our beta mobile app for use during the field trial.

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* 14. In your household, please check the option that best describes who's home during the week:

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* 15. In your household, please check the option that best describes your weekly routine.

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