Intake form

Name *

Email address *

What type of vehicle do you drive?

How often do you use your vehicle?

What features would you like to see in the safe wheel app?

Please select at least one option.

Driving behavior tracking

Eco-friendly tips

Rewards system

Leaderboard and competition

Customizable goals

How did you hear about safe wheel?

What motivates you to drive responsibly?

Please select at least one option.

Environmental concerns

Safety

Financial savings

Competition

Personal satisfaction

What is your location?

Additional questions or comments

Safe Wheel