Community Needs Survey

We’re dedicated to enhancing transportation in Arizona and could use your input. Complete our community needs survey to shed light on local vehicle transportation needs. Help us discover how free electric vehicles can benefit deserving families. Your input will help us gauge the need for these vehicles in the community.

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Name

Date (YYYY-MM-DD)

Do you know someone who needs a vehicle now?(required)

Morning

Afternoon

Do you need a vehicle now?(required)

Morning

Afternoon

If free, would you or someone else you know benefit from a free electric vehicle that has a 60 mile range before needing a charge?(required)

Morning

Afternoon

Do you think providing electric vehicles with a 60-120 mile range to those in need will benefit the community:

Tell us why a free vehicle would change your or someone else’s life: