EV Charger Survey Form
To provide accurate, guaranteed installation estimates
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Single family, multi-family or commercial site?
*
Own or rent?
*
Own
Rent
Have you purchased a level 2 EV charger?
*
Yes I have one or I plan to buy one
I would like you to include the charger in the estimate
I have two EV cars and want a charger for each (power sharing)
I don’t want a wall charger, I want a 14-50 outlet only
Other
If you are purchasing or purchased your own, what's the model number or product you are buying or have already
*
Do you want level 2 EV charger permitted?
*
Yes
No
Not sure
Where do you want the EV charger installed?
*
Inside my garage
On the exterior of the house or building
Other
Is your house pre-wired for an EV charger?
*
Yes
No
Not sure
What year was the house built
*
2015+
2000-2015
1990-2000
1990 or older
Do you have any of the following?
*
Electric oven
Electric cook-top
Central AC
Pool
Hot tub/spa
Electric water heater
Electric dryer
Solar
Existing EV charger
Steam unit
Other
Please upload a picture of your main electrical panel on the exterior of the house so we can see all the breakers, labeling and service disconnect breaker (main shut off).
*
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Please upload a picture of any other electrical panels, sub-panels or breaker boxes in the home, so we can see the breakers and labeling. If you don’t have one, take a picture of main electrical panel, standing about 10 feet back showing entire wall.
*
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Standing back about 10 feet, please upload a picture of the area you would like the charger installed.
*
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Approximately how many feet from the main electrical panel is the charger installation location?
*
Any additional information you would like to provide to help with your quote?
Please verify that you are human
*
Submit
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