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EV Survey
Please fill out the form below to help us understand your EV charger installation needs.
Customer Name:
Address:
City:
State:
Email:
Phone Number:
Do you currently Own or Lease an Electric Vehicle
Yes
No, but I have one on order
No, but I plan to buy one soon
Car Make and Model:
How soon do you need your home charger installed?
As Soon as Possible
Within the next month
Within the next 2-3 months
Not Sure
Location Type:
Residential
Multi-Family Units
Business
Public Sector
Private
Other
If other, please specify:
Where would you like the charger installed?
What type of electrical setup do you currently have?
120V outlet (standard household outlet)
240V outlet (high-power outlet)
No Power
Not Sure
Other
If other, please specify:
Is your electrical panel easily accessible for installation?
Yes
No
Not Sure
Do you have any restrictions or approvals needed for installation (e.g., HOA, landlord, permits)?
No restrictions
Yes, HOA approval required
Yes, landlord approval required
Not Sure
Is your house a split-level?
Not Applicable
Yes
No
Is your electrical panel located in the basement?
Not Applicable
Finished
Unfinished
What level of charger are you interested in installing?
Level 1 (120V, slower charging)
Level 2 (240V, faster charging)
Level 3 DCFC (480V, fastest charging)
Not Sure, need advice
Do you already have a charger you want installed, or do you need one provided?
I have my own charger
I need a charger provided
Not Sure, need recommendations
Are you aware of any local incentives or rebates for EV charger installations?
Yes, and I plan to apply
Yes, but need more details
No, not aware
Do you have any concerns or additional information you would like to share?
How did you hear about our EV charger installation services?
Website
Social Media
Referral
Other
Electrical Panel (Breaker Box):
1. A front-facing photo of the entire electrical panel with the door open.
2. A close-up of the main breaker (showing the amp rating).
Open Electrical Panel (Breaker Box):
A front facing photo of the electrical panel with the door open. Required to have 2 free positions for installation of circuit breaker, panel brand must be visible.
Parking Area:
1. A wide-angle shot of your garage, driveway, or carport where the charger will be installed.
2. A close-up of the exact wall or mounting location for the charger.
Installation Location Photos:
Please submit 2-3 images of the installation location.
Existing Outlet (If Available):
A photo of any existing 120V or 240V outlet near the parking area.
Distance from Electrical Panel to Parking Area:
A photo or measurement showing the path from the electrical panel to the charger location to estimate wiring needs.
House Plans:
Upload any house plans or blueprints if available. Please mark location of electrical panel and installation location
Potential Obstacles (If applicable):
Any tight spaces, obstructions, or walls that may impact installation
HOA or Permit Requirements:
A copy or screenshot of any HOA rules or permit requirements related to charger installation.
ComEd Bill:
Upload a copy of your most recent ComEd bill. Please Include front and back
Submit