ActiveSGV- Clean Mobility Options Survey

Please take this quick survey about Clean Mobility Options. This survey is for San Gabriel Valley residents.

In partnership with Green Commuter and The Energy Coalition, Active San Gabriel Valley (ActiveSGV) is applying for a state grant to introduce more clean mobility options in South El Monte! If awarded, the project would introduce an electric car share program, electric charging stations, and an all electric vanpool service for South El Monte residents.

Thank you!

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* 1. Contact Information

Name (First and Last) *

Street Address *

Street Address 2

City *

State *

ZIP Code *

Email Address *

Phone Number *

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* 2. Type of Home:

Single Family (House)

Multi-Family (Apartment)

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* 3. Average Monthly Electricity Bill:

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* 4. Number of Dependent Children:

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* 5. Annual Household Income (self + spouse + dependents):

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* 6. Does anyone in your household drive a hybrid or electric vehicle?

Yes

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* 7. Has anyone in your household considered purchasing a hybrid or electric vehicle?

Yes