Vehicle Research Question Title * 1. Contact Information First and Last Name City State Email Address Primary Phone Number Question Title * 2. What is your gender? Female Male Question Title * 3. What is your age? Under 18 18-21 22-29 30-39 40-49 50-59 60-64 65-69 70 or older Question Title * 4. What type(s) of vehicles are owned by either you or another household member? Please list vehicle YEAR/ MAKE/ MODEL (Example: 2013/ Chevrolet/ Silverado 2500) Vehicle #1 Vehicle #2 Vehicle #3 Vehicle #4 Vehicle #5 Question Title * 5. When do you expect to purchase your next NEW vehicle, for YOU to drive? Within the next 6 months 6-12 months 1-2 years 2-3 years 3-4 years 4-5 years More than 5 years from now Question Title * 6. What is your current employment status? Employed Full-time Employed Part-time Self-Employed Unemployed Homemaker/ Stay-at-home Parent Retired Question Title * 7. What is your marital status? Married Single Living with significant other Widowed/ Separated/ Divorced, live alone Other Question Title * 8. What is your total annual HOUSEHOLD income, before taxes? Under $49,999 $50,000-74,999 $75,000-99,999 $100,000-149,999 $150,000 or more Question Title * 9. How many children under 18 do you have living with you? None 1 2 3 or more Question Title * 10. What best describes your race or ethnic background? Caucasian Asian/ Pacific Islander Hispanic/ Latino African American Native American Other Done
