Please complete this confidential survey describing your commute for the past week.
1.
What is your home ZIP CODE?
2.
What is the one-way distance between your home and the place where you work?
Miles
3.
What time did you usually get to work during the survey week?
Before 6 am 6:00-6:59 am 7:00-7:59 am 8:00-8:59 am 9:00-9:59 am 10:00 am or later
4.
What time did you usually leave work during the survey week?
Before 3 pm 3:00-3:59 pm 4:00-4:59 pm 5:00-5:59 pm 6:00-6:59 pm 7:00 pm or later
5.
How did you get to work each day of the survey week? (If you used more than one way, please indicate the way for the longest part of your trip.)
Monday
Drove alone Carpooled (2-6 people) Vanpooled (7-15 people) Took Public Transit Took a Shuttle Rode a Motorcycle Biked Walked I had a Compressed work week day off I worked at home for a regular work day I worked at a different location than my usual place I didn't work (because of day off, vacation, sick, other)
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
6.
If you get to work in a carpool or vanpool, how many people are in the vehicle (including yourself)?
2 3 4 5 6 7 8 9 10 11 12 13 14 15
7.
If you drive to work, what kind of vehicle do you drive?
Small to Midsized car (not hybrid) Truck/SUV (not hybrid) Hybrid (all models) Electric (all models)
8.
If you drive to work, what average mileage do you get?
Miles per gallon
9.
What is most important to you when you choose how you get to work? (Select up to 3)
Travel Time Cost Convenience/Flexibility Reliability Comfort and Safety Reducing pollution, conserving energy Ability to make stops on the way to work or home Stress
10.
If you usually drive alone to work, what other ways would you be willing to try? (Select up to 3)
Carpool Vanpool Transit Bike Walk Work at home for a regular work day
11.
If you usually drive alone to work, why don't you use other ways (like carpooling, transit, biking or walking) to get to work? (Select up to 3)
Transit service doesn't match my route/schedule Difficult to find others to carpool/vanpool Work late or irregular hours Cannot get home in an emergency Poor bike/walk access Use my car on the job Need to make stops on the way to work or home Prefer to drive my own car
12.
If you usually drive alone to work, what would encourage you to use a different way to get to work (like carpooling, transit, biking or walking)? (Select up to 3)
Financial incentives Guaranteed ride home in an emergency Awards/prizes Transit passes sold at work Help with transit information Shuttle between transit station and work place Special parking for carpools/vanpools Help finding carpool/vanpool partners Bike lockers/showers at work Better bike/walk access Work schedule flexibility On-site services (like banking, convienience store, dry cleaning)
Feel free to share any additional comments about your trip 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 511 Rideshare Program provides referral services. It does not certify the character of ridesharing participants. Participants are advised to screen referrals to their personal satisfaction. 511 Rideshare Program 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.
Please enter your Name
First Name:* Middle Initial:
Last Name:*
Please enter your Home Address
Street: * Apt:
City: *, State: Zip: *
E-mail Address
*
Phone Numbers* (At lease one is required)
Home Phone: - Mobile Phone: - Work Phone: -
How do you currently commute?*
Bicycle Carpool Drive Alone New Commute Public Transportation Vanpool Walk NA
Match me with:*
All regional matches Your company only
Carpool Preference:*
Ride or drive Drive only Ride only No - do no match with other carpoolers
Vanpool Preference:*
Yes, I will ride in a vanpool No, do not match with vanpools I would like to become a vanpool driver I drive a vanpool and need riders I drive a vanpool and do not need riders
Bicycle Preference (Find commuters interested in cycling to work):
I am seeking a riding partner
Please select your work location
Employer, Street1, City1, CA Zip1 Employer, Street2, City2, CA Zip2 Employer, Street3, City3, CA Zip3 Employer, Street4, City4, CA Zip4 Employer, Street5, City5, CA Zip5 *
What time do you usually start work?
:*
AM or PM?*
am pm
What time do you usually leave work?
Are the hours you work flexible and by how many minutes?
Not Flexible 15 30 45 60 75 90 *
Commute Days:*
M T W Th F Sat Sun
* Inditates Required Fields