EVSE Client Questionnaire

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A Questionnaire to determine your electrical needs.

Email *

Todays Date: *

YYYY

Your name please: *

Your phone number: *

Your address for this service: *

What is the home square footage?

EV Charger provided by:

I will provide my own EV Charger

I need to buy an EV Charger from you (cost TBD)

I may consider buying an EV Charger from you (cost TBD)

EVSE Charger Provided:

Your EVSE Connection Preference:

Hardwired EV Charger

14-50 Receptacle (additional costs due to GFCI & Neutral requirements)

Your Electric Utility Company

Xcel Energy

Dakota Electric Utility (DEU)

Minnesota Valley Electric Coop (MVEC)

Shakopee Power Utility (SPU)

Connexus

Rochester Power Utility (RPU)

Benco

Anoka Municipal Utility (AMU)

Wright Hennepin

East Central Electric (ECE)

Other:

Your Electric Utility Account Number

Are you interested in a utility EV Charging Program for discounted nighttime electrical costs (but higher cost daytime charging rates)?

Yes

Maybe, need further information

Clear selection

Does Utility have Off-Peak Meter Location Requirements?

Yes

Unknown

Clear selection

Your Main Circuit Breaker Amperage

Where is you main Load Center (circuit breaker panel) located?

Garage

Basement

Other:

Do you know your average kW/h usage?

Appliances

N/A

Gas

Electric

Column 4

Furnace

Hot Water Heater

Stove & Range

Oven

Freezer(s)

Laundry Dryer

Air Conditioning

HVAC Heat Pump(s)

Dishwasher(s)

Garbage Disposal(s)

Baseboard Heater(s)

In-Floor Heating

Swimming Pool

Hot Tub

Clear selection

What is your scheduling flexibility?

Clear form

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