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Propane Autogas Vehicle State Incentive Program: Initial Propane Autogas Vehicle Survey
Thank you for beginning the Initial Propane Autogas Vehicle Survey. The information you provide in this survey will be used to help PERC and your State Propane Association assess the success of their Vehicle Incentive Program.
You will be asked to provide the following
:
Average annual mileage of vehicles in your current fleet
Average annual maintenance requirements of vehicles in your current fleet
Average annual maintenance costs of vehicles in your current fleet
The VIN(s) of the vehicle(s) you applied to the Vehicle Incentive Program.
Please have this information at hand to help you complete the survey.
This survey will take you about
30 minutes
to complete. Please complete the full survey in one sitting, as information you enter cannot be recovered later.
Please note that the information you provide in this survey will remain anonymous; your survey data will be averaged with other participant data when compiling survey results to report to PERC and your State Propane Association.
Participant Background
I. Contact Information
First Name
Last Name
Address 1
Address 2
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
District of Columbia
Zip
Phone
Email Address
Company Name
Position/Title
II. Familiarity with Propane State Incentive Program
1. How did you hear about the Propane State Incentive Program? Select one.
Automotive dealership
Equipment conversion company
Friend or neighbor
Internet search
Propane dealer
State propane association
Trade magazine
Trade show
Vehicle manufacturer
Other (please specify)
Please specify the name of the trade magazine.
Please specify the name of the trade show.
2. What is your current perception of the use of propane autogas as a fuel source for vehicles?
Not at all favorable
Not very favorable
Neutral
Favorable
Very favorable
Current perception
Not at all favorable
Not very favorable
Neutral
Favorable
Very favorable
Please explain.
Please explain:
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