Page 1 of 2

Driving Study - P260313

Please provide us with your First and Last Name

*

Please provide us with your email address.

*

Are you a licensed driver?

*

Are you a licensed driver?

A

Yes

B

No

On average, how often do you personally put gasoline or diesel into the vehicle that you drive most often?

*

On average, how often do you personally put gasoline or diesel into the vehicle that you drive most often?

A

Once a week or more

B

Three times a month

C

Twice a month

D

Once a month

E

Less than once a month

F

Never

G

I do not drive a vehicle that uses gasoline

Which of the following Fuel Reward programs do you regularly use?

*

Which of the following Fuel Reward programs do you regularly use?

A

Shell Fuel Rewards [Fuel Rewards – must select]

B

Exxon Mobil Rewards+

C

Circle K Inner Circle

D

Speedy Rewards (Speedway)

E

Irving Rewards Loyalty Program

F

None of the above

In case you get selected would you be available to join the discussion on Thursday April 9 at 6:00 pm ET. We are only inviting a small group to attend the live sessions. If you agree to attend, we are counting on you to join

*

In case you get selected would you be available to join the discussion on Thursday April 9 at 6:00 pm ET. We are only inviting a small group to attend the live sessions. If you agree to attend, we are counting on you to join

A

Yes

B

No