Electric Vehicle Charging Points

1. What is your name?

2. What is your email address?

If you enter your email address then you will automatically receive an acknowledgement email when you submit your response.

3. What is your address?

4. What is your postcode?

(Required)

5. Do you have off-street parking at your property?

Yes No

If you answered that you have off-street parking, is this off-street parking an area that you own and control (i.e a private driveway at the side of your house) or is this in a communal parking area shared with other households?

Yes - my private driveway No - my off-street parking is within a communal car park I share with other households

6. Please tell us about your vehicle:

(Required) I own a fully electric vehicle I own a plug-in hybrid vehicle I intend to purchase an electric or plug-in hybrid vehicle in 1 years time I intend to purchase an electric or plug-in hybrid vehicle in 2 years time I intend to purchase an electric or plug-in hybrid vehicle in 2+ years time I intend to lease an electric or plug-in hybrid vehicle in 1 years time I intend to lease an electric or plug-in hybrid vehicle in 2 years time I intend to lease an electric or plug-in hybrid vehicle in 2+ years time I have been given an electric or plug-in hybrid vehicle by my employer to do my job I don't own any of the above nor do I intend to buy one

7. Are you a taxi or private hire vehicle driver? *we ask this because these are high-mileage drivers who will need to access charging points that deliver a fast rate of charge.

(Required) Yes No

8. Are you a Fleet driver? *i.e do you work for a company where you spend most of your working time driving a vehicle to make deliveries, service equipment etc.

Yes No

9. Are you, or a person living at your home address, a blue badge holder?

Yes No

If you answered Yes to the question above, would your electric vehicle be the main vehicle used by the blue badge holder?

Yes No

10. Do you have any further suggestions for future on-street electric vehicle charging points you would like to share? (by default we assume that you are most interested in charging points near to your home postcode, so this is an opportunity for you to point us towards locations that are further afield in the borough) On the next page you will be able to place some markers on a map to show where you would like to see future charging points delivered.

Electric Vehicle Charging Points

About You