2021 Employee Commute Survey Question Title * 1. Before we get started, please provide us with some contact information. Name City/Town ZIP/Postal Code Email Address Phone Number Question Title * 2. For January 2021 to December 2021, approximately how many days total will you expect to work? On average, Broward County employees will work 250 days per calendar year. These days include paid holidays but exclude sick leave and paid leave. Question Title * 3. Please select all that apply: how did you and/or are you getting to work during 2021? Gasoline vehicle (includes hybrids) Public Transportation Carpool Electric vehicle Bicycle Walking Motorcycle Other (please specify) Question Title * 4. How many miles per day did you commute to and from work (roundtrip) using the mode/s of transportation you selected in the previous question? If multiple modes were selected, please specify the total number of miles for each mode of transportation. (Please only fill out the text box/es that apply to you). Gasoline vehicle (includes hybrids) Public transportation Carpool Electric vehicle Bicycle Walking Motorcycle Other (please specify) Question Title * 5. If you entered multiple modes of transportation, please specify the following: how many days per month you used each mode of transportation and if this changed at any point throughout the year. If so, how? Question Title * 6. If you drive a gasoline vehicle, what is the make and model? Question Title * 7. If you drive a diesel vehicle, what is the make and model? Question Title * 8. If you drive an electric vehicle, what is the make and model? Question Title * 9. Did you telework at any point this year? If so, please pick one of the following three options for which to report this below: Days per week Days per month Days per year Done