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Yes No General demographicsOccupation Industry Month & Day Birth (month/day) Year of Birth (ie: 1999)*Gender*Choose OneMaleFemaleOtherPrefer not to answerHeight (feet)Choose One456Height (Inches)Choose One01234567891011Weight (pounds) Marital StatusChoose oneMarriedSingleDivorcedSeparatedWidowLiving with PartnerEthnic BackgroundChoose oneArab American or ChaldeanAsian or Asian AmericanBlackHispanic or LatinoIndigenous or First NationMiddle Eastern or North AfricanNative Hawaiian or Other Pacific IslanderWhiteAnother race, ethnicity, or originPrefer not to answerEducationChoose oneSome High SchoolHigh School GradTradeSome CollegeCollege GradHousehold Income Before TaxesChoose oneUnder $25,000$25,000 - $50,000$50,000-$75,000$75,000 - $100,000$100,000 +Your locationStreet Address City* Zip Code* State* Michigan residents onlyWhat county do you reside in?GeneseeLapeerLivingstonMonroeMacombOaklandSt. ClairWashtenawWayneOther AutomotiveYour primary vehicleVehicle Year Vehicle Make (manufacturer)Choose OneAcuraAudiBMWFordGeneral MotorsHondaHyundaiInfinitiJaguarJeepKiaLand RoverLexusMazdaMercedes-BenzMitsubishiNissanPorscheRenaultStellantis (Chrysler, Fiat, Peugeot)SuburuSuzukiTeslaToyotaVolkswagonVolvoOtherIf Other, Specify Vehicle Make (manufacturer) Vehicle Model Was your vehicle purchased/leased new or used?Choose oneNewUsedCar FuelChoose oneDieselGasolinePlug-in ElectricPlug-in HybridOtherWhat do you use the vehicle for?Choose onePersonalCommercial/BusinessBothYour 2nd vehicle you drive and are familiar withVehicle Year Vehicle Make (manufacturer)Choose OneAcuraAudiBMWFordGeneral MotorsHondaHyundaiInfinitiJaguarJeepKiaLand RoverLexusMazdaMercedes-BenzMitsubishiNissanPorscheRenaultStellantis (Chrysler, Fiat, Peugeot)SuburuSuzukiTeslaToyotaVolkswagonVolvoOtherIf Other, Specify Vehicle Make (manufacturer) Vehicle Model Was your vehicle purchased/leased new or used?Choose oneNewUsedCar FuelChoose oneDieselGasolinePlug-in ElectricPlug-in HybridOtherWhat do you use the vehicle for?Choose onePersonalCommercial/BusinessBothYour 3rd vehicle you drive and are familiar withVehicle Year Vehicle Make (manufacturer)Choose OneAcuraAudiBMWFordGeneral MotorsHondaHyundaiInfinitiJaguarJeepKiaLand RoverLexusMazdaMercedes-BenzMitsubishiNissanPorscheRenaultStellantis (Chrysler, Fiat, Peugeot)SuburuSuzukiTeslaToyotaVolkswagonVolvoOtherIf Other, Specify Vehicle Make (manufacturer) Vehicle Model Was your vehicle purchased/leased new or used?Choose oneNewUsedCar FuelChoose oneDieselGasolinePlug-in ElectricPlug-in HybridOtherWhat do you use the vehicle for?Choose onePersonalCommercial/BusinessBothDo you or people living in your household work for an Automobile Manufacturer (OEM)?Choose oneYesNoDo you have a valid driver's license?Choose oneYesNoDo you own and use a smartphone?Choose oneYesNoDo you have difficulty hearing during normal coversation?Choose oneYesNoWould you consider purchasing an electric vehicle in the future?Choose oneYesNoDo you use Apple CarPlay or Android Auto?Choose oneAndroid AutoApple CarPlayBothNoneDo you use ride share programs, like Uber and Lyft?Choose oneYesNoNo, but would consider in futureNo and likely won't useDo you drive for a delivery company?Choose oneYesNoHow often do you pull a trailer with your vehicle?Choose oneFrequentlySometimesRarelyNeverDo you engage with your system's vehicle's infotainment?Choose oneYesNoHow do you interact with your vehicle's screen? Touching the display Rotary controller A touch pad you can draw on Steering wheel controls Voice Do you have a history of motion sickness?Choose oneYesNoDo you use a wheelchair, walker or cane?Choose oneI use a wheelchairI use a walkerI use a caneI can walk unaidedDo you have difficulty walking a 1/4 mile or several city blocks without stopping due to pain, discomfort, shortness of breath, etc.?Choose oneYesNoDo you have difficulty getting in and out of several vehicles in a short period of time?Choose oneYesNoWhich of the following cities are willing to travel to for our research studies?Check all that apply I am interested in attending studies around Allen Park area I am interested in attending studies around Ann Arbor / Ypsilanti area I am interested in attending studies around Auburn Hills / Rochester Hills area I am interested in attending studies around Detroit area I am interested in attending studies around Livonia area I am interested in attending studies around Milford area I am interested in attending studies around Novi / Farmington Hills area I am interested in attending studies around Royal Oak / Southfield area I am interested in attending studies around Sterling Heights / Troy area I am interested in attending studies around Warren area About your familyYour ChildrenYour Children Under 18 Living in Your HouseholdBirth Year of Child #1 Birth Year of Child #2 Birth Year of Child #3 Birth Year of Child #4 Birth Year of Child #5 About Your Spouse (optional)Fill out the following information only if your spouse would also like to participate:Spouse's Full Name Spouse's Year Of Birth (yyyy) Spouse's Occupation Spouse's Industry Spouse's Vehicle Year Vehicle Make (manufacturer)Choose OneAcuraAudiBMWFordGeneral MotorsHondaHyundaiInfinitiJaguarJeepKiaLand RoverLexusMazdaMercedes-BenzMitsubishiNissanPorscheRenaultStellantis (Chrysler, Fiat, Peugeot)SuburuSuzukiTeslaToyotaVolkswagonVolvoOtherIf Other, Specify Vehicle Make (manufacturer) Spouse's Vehicle Model Spouse's Car FuelChoose oneDieselGasolinePlug-in ElectricPlug-in HybridOtherWhat do you use the vehicle for?Choose onePersonalCommercial/BusinessBothSpouse's EducationChoose oneSome High SchoolHigh School GradTradeSome CollegeCollege Grad Almost doneEnter the name of the person who referred you to Opinion Search. 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