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Autos
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1.
Please fill out the following information so that we can contact you if you pre-qualify for this study.
(Required.)
First & Last Name:
City/State:
Email address:
Phone Number:
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2.
What is the make, model, and year of the vehicle you drive PRIMARILY?
(Required.)
MAKE:
MODEL:
YEAR:
N/A; I do not have a vehicle
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3.
Did you purchase or lease this vehicle new or was it pre-owned?
(Required.)
New
Pre-owned
N/A; I do not have a vehicle.
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4.
How involved were you in the decision to buy this vehicle?
(Required.)
NOT at all involved
NOT very involved
Somewhat involved
Very involved
Extremely involved
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5.
When do you think you would be ready to buy your next vehicle?
(Required.)
Within the next year
In 2-3 years
In 4-5 Years
Some times after 6+ years
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6.
What type of engine does your vehicle have?
(Required.)
Diesel Engine
Gasoline Engine
Hybrid Electric Vehicle (HEV)
Plug-in Hybrid Electric Vehicle (PHEV)
Batter Electric Vehicle
I don't know
Other (please specify)
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7.
Which of the following best describes your ethnic background?
(Required.)
White/Caucasian
Black/African American
Hispanic/Latino
Asian/Pacifc Islander
Other (please specify)
*
8.
What is your current age?
(Required.)
*
9.
Which of the following best describes your marital status?
(Required.)
Married
Live with Partner
Single never married
Divorced
Widowed
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10.
What is your approximate average household income?
(Required.)
$0-$24,999
$25,000-$49,999
$50,000-$74,999
$75,000-$99,999
$100,000-$124,999
$125,000-$149,999
$150,000-$174,999
$175,000-$199,999
$200,000 and up
Current Progress,
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