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Did you purchase or lease your car in California?
*
Yes
No
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Were you an active member of the military when you owned or leased the car?
*
Yes
No
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Was your car new, certified pre-owned, or leased?
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New
Certified Pre-Owned
Leased
Used
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What is the year of your car?
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Below 2020
2020
2021
2022
2023
2024
2025
2026
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What is the make and model of your car?
*
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What issues were you experiencing with the car?
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Transmission
Engine
Brakes
Steering/Suspension
Electronic
Other
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Before your car's warranty expired, how many times did you take your car to the dealership for the problem? (Dealership does NOT mean a third-party mechanic like Pep Boys or Jiffy Lube)
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0
1
2
3
4
4 or more
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Has your car been at the dealership for a total of 30 days or more for all of your repairs?
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Yes
No
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Full Name
*
First Name
Last Name
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Email
*
example@example.com
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Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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