Employee Transportation Survey

Your company name here

Please complete this confidential survey describing your commute.
What is your home postal ZIP code?

What is the distance one-way (in miles) from your home to your primary work site?

What time do you arrive at work during the survey week?

What time do you leave work during the survey week?

How did you travel to work on Monday of the survey week?

How did you travel to work on Tuesday of the survey week?

How did you travel to work on Wednesday of the survey week?

How did you travel to work on Thursday of the survey week?

How did you travel to work on Friday of the survey week?

How did you travel to work on Saturday of the survey week?

How did you travel to work on Sunday of the survey week?

If you commute to work in a carpool or vanpool, how many people are in your vehicle (including yourself)?

What factors are most important to you in choosing your means of transportation to work? (Select up to 3)

Travel Time
Cost
Convenience/Flexibility
Comfort and Safety
Reducing pollution, conserving energy
Ability to make stops en route
Stress

If you usually drive alone to work, what is preventing you from using a commute alternative such as ridesharing, transit, bicycling, or walking? (Select up to 3)

Transit service is not adequate
Difficult to find others to rideshare
Work late or irregular hours
Cannot get home in an emergency
Poor Bicycle/Pedestrian access
Use my car on the job
Need to make stops en route
Prefer to drive my own car

If you usually drive alone to work, would you be willing to use any of the following commute alternatives one or more days per week? (Select all that apply)

carpool
vanpool
transit
bike
walk
telecommute

If you usually drive alone to work, which of the following incentives would encourage you to use a commute alternative? (Select up to 3)

Financial subsidies
Guaranteed ride home in an emergency
Awards/prizes
Sales of transit passes at work
Assistance with transit information
Shuttle from transit station to work
Preferred parking for carpools/vanpools
Assistance finding a carpool/vanpool
Bicycle lockers/showers at work
Better bicycle/pedestrian access
Flexibility of work schedule
On-site services (e.g. ATM Machine)
Other

 

YES, I want free commute information...

Complete this optional section to receive free services from the Regional Rideshare Program.  Your home address will remain strictly confidential. If you are not interested, please scroll to the end of the survey and click on the "click here to finish" button.

First Name

Last Name

Home Address

Home City

Home Zip

Home Phone

I'd like a brochure on getting started (check as many as you like)

Carpooling
Vanpooling
Bicycling to work

I'd like a free Matchlist of carpool, vanpool, or bicycle referrals.

Complete this optional section for a free list of carpool, vanpool, or bicycle partners who live and work near you.  Your home and work address will remain strictly confidential and are used for ridematching purposes only.  The Regional Rideshare Program (RRP) provides referral services.  It does not certify the character of ridesharing participants.  Participants are advised to screen referrals to their personal satisfaction.  The RRP does, however, within the lawful limits of title VI of the civil rights act of 1964, as amended, reserve the right to refuse services to anyone.

If you are not interested, please scroll to the end of the survey and click on the "click here to finish" button.

What is your commute preference?

I want to Drive and add passengers to my car
I want to Ride and join a carpool or vanpool as a passenger
I want to join a carpool or vanpool as a driver or passenger
I want to join other bicyclists in a bikepool
I want to join other bicyclists and carpool

I'm interested in bike commuting referrals. (check as many as you like)

My riding level is: Novice Some Experience Experienced
I am available to help other riders with advice
I am seeking a riding partner

I am seeking an experienced rider for advice

Do you drive a vanpool?

No
No, but I would like to
Yes, and I am seeking riders
Yes, but I am not seeking riders

Employer

Work Address

Work City

Work Zip

Work Phone

E-mail Address

What time do you usually start work?

AM or PM?
am
pm
What time do you usually leave work?

AM or PM?
am
pm
Are the hours you work flexible at all?
yes
no
By how much? (in minutes)