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Volt On Demand – EV Charging Interest Form
About You
What’s your first name?
*
What’s your email address?
*
What’s your zip code?
*
Your EV Details
What kind of EV do you drive?
If you chose, "Other." What's your vehicles name?
How long have you owned your EV?
Untitled multiple choice field
A
Less than 6 months
B
6–12 months
C
Over 1 year
D
I don’t own one yet
Mobile Charging Use
When would you most likely need mobile charging?
When would you most likely need mobile charging?
Emergency roadside
At home
At work
While traveling
At an event
Would you pay for this service?
Untitled multiple choice field
A
Yes ($25–$75 is worth it)
B
Maybe
C
No
D
I’d consider a membership
How likely are you to use Volt On Demand?
Untitled linear scale field
0
1
2
3
4
5
6
7
8
9
10
Feedback
Would you want early access or discounts?
Would you want early access or discounts?
A
Yes
B
No
Any feedback or ideas you’d like to share?
Submit