Transportation Management Services

Please complete this short survey about your current commute. Your responses will help us find ways to improve your commute to work. The information on this survey will be kept completely confidential, unless you specify otherwise.
1. Name
2. Home Address
....City, State, Zip
3. Home Phone
....E-mail
....Employer
....Work Phone
4. The nearest intersection near your home:
5. Start work:	AM PM
....End work:	AM PM
....Or Shift:
6. How long does it usually take you to get to work, door to door?
5 minutes or less 6 - 10 minutes 11 - 15 minutes 16 - 20 minutes	21 - 25 minutes 26 - 35 minutes 36 - 45 minutes 46 minutes or more
7. What days do you work?:
Monday Tuesday Wednesday Thursday	Friday Saturday Sunday
8a. How do you normally get to work? (check main one):
Carpool Bicycle Drive Alone Dropped Off Bus Ferry	Telecommute Vanpool Walk HOV Express Bus Combination of:
...If you selected vanpool, are you the vanpool driver?
YES NO
9. Are you currently working flexible or compressed work hours? (Flexible hours allow travel at off-peak traffic hours and compressed hours allow the employee to work, for example four 10 hour days).
YES NO
10. If you indicated Bicycle or carpool/vanpool above and would like to be registered in the Guaranteed Ride Program, we will register you for FREE. The Guaranteed Ride Program is a public service and insures participants who either Bicycle or carpool/vanpool a ride back to their point of origin in case of an emergency for just a $1.50. Would you like to be registered for the Guaranteed Ride Program?
YES NO
11. What are your estimated monthly commute costs (gas, insurance, vehicle maintenance, etc.)
$10.00 - $25.00 $26.00 - $36.00 $37.00 - $47.00	$48.00 - $58.00 $59.00 - $69.00 Other:
12. If you usually drive alone to work, what is your main reason?:
Takes less time to drive alone Don't have anyone to ride with Don't like to depend on others Need my car at work for company business Bus stop not convenient to home/work Live close to work Irregular work schedule Need my car before/during/after work Need a specialty-equipped vehicle
13. Compared to the various activities you conduct during the day, how stressful do you find your commute to work?:
Much more stressful than most activities More stressful than most activities About as stressful than most activities Less stressful than most activities Much less stressful than most activities Not at all stressful
14. If you drive alone to work, what would encourage you to use alternative transportation? (choose top three)
Save money on commuting expenses (gas, maintenance, depreciation, parking, tolls) Less Stress Guaranteed ride home in case of emergency Employer helps pay for commute costs Flexible/compressed work schedules Company provided vanpool Time savings on HOV lanes Preferential/reserved parking for carpools and vanpools Personalized list of carpool/vanpool matches Availability of bus to and from work Better transit scheduling (frequency and trip times) Information on Park & Ride lots
15. Which of the following means of commuting would you consider using 1-2 days per week? (check up to two)
Carpool Bus Bike Vanpool	Walk Telecommute None
16a. Would you like to have your name and commuting information entered into a ridesharing database, which will match you with people who live and work in the same area? This information will be used only for ridematching purposes.
YES NO
b. Select a ridesharing preference:
Drive only Ride only Drive and ride
c. Prefer to be matched with:
Smokers Non-smokers Either
d. Select gender preference.
Male Female Either
e. If you prefer to be matched from an alternate location (for example, daycare), what is that location?
....Name
....Address
....City, State, Zip
....Major intersection near location:
18. Would you like to have Bay Transit (Middle Peninsula Public Transit provider)ticket books available on-site to purchase at a cost of eight dollars?
YES NO
19. Vanpool interest:	Send information I would like to be a vanpool driver
20. Comments:

Thank You For Your Cooperation!
Questions? Call Middle Peninsula Planning District Commission 804-758-2311.