We are ActiveSGV, a community-based nonprofit working on the Bassett Avocado Heights Advanced Energy Community project. We are conducting this survey to learn about community needs on energy and transportation. Our goal is to provide an increased awareness of clean energy and mobility programs available. Thank you for your time!

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* 1. Personal Information

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* 2. I identify my ethnicity as: (please select all that apply)

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* 3. I identify my gender as:

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* 4. Type of Home

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* 5. Do you rent or own where you live?

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* 6. How many people currently live in your household?

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* 7. What is the combined income before tax deductions in the household?

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* 8. What equipment is used to HEAT your home (check all that apply)?

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* 9. What equipment is used to COOL your home (check all that apply)?

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* 10. Do you own a clothes washer?

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* 11. Do you have a grass lawn?

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* 12. Do you have solar panels on your roof?

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* 13. If not, are you interested in receiving solar panels?

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* 14. Are you interested in receiving a 20% discount off your monthly electricity bill?

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* 15. If interested, would you like someone from our team to follow up with you to assist with enrollment to receive a 20% discount off your monthly electricity bill?

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* 16. What is your current mode of transportation?

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* 17. If you do not have access to a vehicle, please rank your next best transportation option in order of preference (1 = most preferred, 7 = least preferred)

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* 18. Rank the following challenges that limit you from commuting. (1 being the worst, 5 best)

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* 19. In the past three months, how often have you been unable to go places because you did not have transportation?

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* 20. If you had an option, how likely would you join a vanpool? (Choose one)

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* 21. If you had an option, how likely would you use
a rideshare service that can get you around the
Bassett & Avocado Heights community with a
mobile app

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* 22. What would you use a rideshare service for?

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