EPA QUESTIONNAIRE

Business Information Section

1. How long have you been in business? _____ years _____months?

2. Average gross income for the last five years (if in business that long): _____

3. Current number of employees: _____

4. Do you build custom motorcycles to sell and/or for personal use? _____

5. If yes, how many motorcycles built per year: _____

6. Percentage of business from custom motorcycle sales: _____

7. Percentage of business from exhaust modifications (including customer-installed units): _____

8. Percentage of business from performance modifications (including customer-performed mods): _____

9. Would you be willing to pay a non-conformance fee per unit to keep building motorcycles and
modifying engines or components? Yes_____ No_____

10. How much do you pay in taxes per year (federal, state, and local)?: _____

11. Do you rebuild engines or assemble engines from components? Yes_____ No_____

12. Would you be willing to attend a meeting with EPA or SBA officials? Yes_____ No_____

13. What is the percentage of the business you may lose compared to your total revenue? _____%

14. Will the new EPA rules cause you to lay off employees? Yes_____ No_____

15. Will you have to close your business if the rules are not changed to allow options? Yes_____ No_____

16. When did you become aware of these EPA rules? ______

17. Where did you learn about the EPA rules? Media (newspaper, magazine, television, radio) _____
Industry source_____ Friend_____ Other_____

Individual Information Section

1. How many motorcycles have you owned in the last five years? _____

2. On how many of those have you changed exhaust, engine, or driveline components? _____

3. How much have you spent on modifications? $_____

4. Percentage of work done yourself: _____%

5. Percentage of work done by an independent shop: _____%

6. Percentage of work done by an OEM dealer: _____%

7. Would you be willing to pay an extra fee to make those modifications legal?
Yes_____ No_____

8. How many custom motorcycles have you built for yourself in the last five years? _____

9. Would you be willing to pay a non-conformance payment (per new bike) to keep building
personal motorcycles with the components of your choice? Yes_____ No_____

Submitted by shop/person located in City _____________________________ State_____________