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Customer Intake Form

Budget & Buying Context

Budget Range
What stage are you in?
How long do you plan to keep this car?

Powertrain Preference

Which powertrain are you considering?

Priorities (No-Code, Clean)

Priority – Primary (most important)
Priority – Secondary (optional)

Daily Driving Reality

How much do you drive in a typical week?
Your driving is mostly:
Trip type:

Living & Charging Constraints

Where do you live?
Do you have control over installing or regularly accessing EV charging where you live?
Which of these would make switching to an EV difficult for you right now? (Select all that apply)
Do you have dedicated parking?
EV charging access:
Are you comfortable charging outside (Superchargers, stores) for 30–60 minutes?

Practical Needs

Seating needs
Cargo & lifestyle needs (select all that apply) (Optional)

Technology & Risk Comfort

Ride comfort priority
Your comfort with vehicle technology
Maintenance mindset

Thank you for trusting AutonomousPulse.

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