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1
What car problem are you having?
Transmission
Electrical
Engine
Other Issue
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2
How many times have you taken your car to the dealership for repair?
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3+
2
1
0
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3
What year is your car?
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2024
2023
2022
2021
2020
2019
2018
2017 or older
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4
What's the Make and Model of your car?
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For example, Chevy Silverado
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5
In what state did you get your car from?
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6
What's your name?
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First Name
Last Name
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7
What's your email?
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example@example.com
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8
What's the best cell phone number to reach you directly?
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