1. What is your home zip code?* (required)

2. Do you primarily . . .

Work Full-Time	Attend School Part-Time
Work Part-Time	Other:
Attend School Full-Time

2a. What is your work zip code?

.2b. What is your school zip code?

3. On which days of the week are you typically traveling to work or school?

Monday Through Friday

Other

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- Part 2 -

4. What time of day do you usually leave your home to travel TO work or school?

-- Select One -- Midnight to 4:59 AM 5 AM to 5:29 AM 5:30 to 5:59 AM 6 to 6:29 AM 6:30 to 6:59 AM 7 to 7:29 AM 7:30 to 7:59 AM 8 to 8:29 AM 8:30 AM to 8:59 AM 9 to 9:59 AM 10 to 10:59 AM 11 to 11:59 AM Noon to 3:59 PM 4 - 11:59 PM Other (Work at Home, etc.)

5. What time of day do you usually leave your work or school to travel home?

-- Select One -- Midnight to 5:59 AM 6 AM to 11:59 AM Noon To 2:59 PM 3:00 PM to 3:29 PM 3:30 PM to 3:59 PM 4:00 PM to 4:29 PM 4:30 PM to 4:59 PM 5:00 PM to 5:29 PM 5:30 PM to 5:59 PM 6:00 PM to 6:59 PM 7:00 PM to 8:59 PM 9:00 PM to 11:59 PM Other (Work at Home, etc.)

6. How long is your typical commute to work or school? (Please answer each question using your best approximation)

A. In Miles:
-- Select One -- Less Than One Mile 1 to 4 Miles 5 to 9 Miles 10 to 19 Miles 20 to 29 Miles 30 to 49 or More Miles 50 or More Miles Other (Work at Home, etc.)

B. In Minutes:
-- Select One -- Less Than 5 Minutes 5 to 9 minutes 10 to 14 Minutes 15 to 19 Minutes 20 to 24 Minutes 25 to 29 Minutes 30 to 34 Minutes 35 to 39 Minutes 40 to 44 Minutes 45 to 59 Minutes 60 to 89 Minutes 90 or More Minutes Other (Worked At Home, Etc.)

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- Part 3 -

7. Indicate how you typically travel to work or school.

Drive Alone (in passenger car, truck, or van	Bicycle
Public Transit (bus, "T", or Incline)	Walk
Carpool (in passenger car, truck, or van)	Vanpool
Motorcycle	Other:

8. If you drive alone to work or school, select your main reason for doing so:

Need to travel during work hours for personal business	Need to travel during work hours for company business	Need vehicle before and after work
Need to drop off/pick up children	It Is Faster	Public Transit Not Available
Irregular Work Schedule	More convenient	Don't Have Anyone To Ride With
It Is Less Stressful	Other:

9. If you use public transportation or ride in a carpool or vanpool, select your main reason for doing so:

Faster	Less stressful	More convenient
Costs less than driving alone	Do not have a vehicle for commuting	Other:

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- Part 4 -

10. For each of the attributes listed below, indicate its importance to you when considering your commute to and from work or school.

	Very Low Priority	Low Priority	Neutral Priority	High Priority	Very High Priority
	1	2	3	4	5
Safety
Cost
Dependability
Commuting Time
Commuting Stress
Parking Availability
Convenience
Independence

11. Approximately how much does it cost you to commute to work or school?

Parking: $ per month
Public Transit (bus, "T", or Incline): $ per month
Turnpike Tolls: $ per month
Gas: $ per month

12a. Which transportation-related benefits are available through your employer, worksite, or school? (check all that apply)

Reserved parking spaces for carpools and vanpools	Information on available transportation options
Company or school subsidy for transportation expenses	Payroll deduction for commuting expenses
Services on-site or within walking distance that eliminate the need for workday vehicle trips (cafeteria, vending machines, coffee, ATM, postage, etc.)	Organized ridesharing (carpool, vanpool)
Secure bicycle storage	Flexible work/class schedules
Telecommuting policy
Other:

12b. Which transportation-related benefits would you like to see your employer, worksite, or school offer? (check all that apply)

Reserved parking spaces for carpools and vanpools	Information on available transportation options
Company or school subsidy for transportation expenses	Payroll deduction for commuting expenses
Services on-site or within walking distance that eliminate the need for workday vehicle trips (cafeteria, vending machines, coffee, ATM, postage, etc.)	Organized ridesharing (carpool, vanpool)
Secure bicycle storage	Flexible work/class schedules
Telecommuting policy
Other:

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- Part 5 -

13. If you work, does your company provide use of a company car if you need to make work-related trips during the day?

Yes
No

14. What suggestions do you have for CommuteInfo to raise awareness about our program and reach more commuters?

15. What would make your commute better, easier, and/or safer?

16. Are you aware of the CommuteInfo Emergency Ride Home Service?

Yes
No

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- Part 6 -

In order to assist us, we ask you to complete the following questions. They are not required to be completed as part of the survey but can help us better understand who you and the other respondents are and to plan more appropriately to meet your needs.

17. What is your age?

-- Select One -- 24 years or less 25 to 34 years 35 to 44 years 45 to 54 years 55 to 59 years 60 years or more

18. Are you . . .

-- Select One -- Male Female

19. What is your race . . .
(check all that apply)

White/Caucasian	Black/African-American	American Indian & Alaska Native
Asian	Native Hawaiian/Other Pacific Islander	Some Other Race Other:

19a. Are you Spanish, Hispanic, or Latino?
-- Select One -- Yes No

20. What is your household's annual income?

Less Than $25,000	$25,000 - $44,999
$45,000 - $74,999	$75,000 or more

21. How many people in your household are over 16 years old?

22. What is the total number of vehicles (cars, SUVs, trucks, motorcycles, vans) owned by your household?

23. Do you have a disability that requires specific transportation accomodations?

   Yes
No

24. Do you currently receive the CommuteInfo Commuter E-Newsletter?

   Yes
No

24b. Would you like to receive the CommuteInfo Commuter E-Newsletter? Published quarterly, the CommuteInfo E-newsletter provides program updates, interesting facts, and commuter news.

Yes
No

24c. If yes, please enter your e-mail address:

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