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    (please find in the questionnaire regarding your Nissan Leaf registered on number ............................)
 
 
 
BASIC INFORMATION
 
 
 
Year of Manufacture
 
2011
 
2012
 
2013
 
2014
 
2015

 
 
 
Purchasing Price in Rs.
   
 
 
 
District in which it's mostly used
   
 
 
Gender of the person who uses frequently
 
Male
 
Female

 
 
 
Do you currently own a non-electric vehicle?
 
Yes
 
No

 
 
If yes, please select the appropriate vehicle type of it. If No, you may skip this question.
 
Motor-cycle
 
Three-wheeler
 
Car/Van
 
Other
 

 
 
 
BATTERY USAGE AND CHARGING
 
 
 
Average no of km driven per day
 
0-50km
 
50-100km
 
100-150km
 
>150km