Organization Information

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1. Information submitted will be used to determine winners for NOACA's Commuter
Choice Awards. (Required.)

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2. Please provide your contact information.

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3. What category best describes your organization?

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4. How many fulltime equivalent employees (FTE) does your organization have within
NOACA's region (Cuyahoga, Geauga, Lake, Lorain and Medina counties)?

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5. Does your organization have an environmental sustainability policy?

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6. Are employees encouraged to use environmentally friendly commuting modes? (e.g.
transit, biking, walking, carpool, etc..)

Internal Organization Policies

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7. Do you provide priority parking for car pools or van pools?

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8. Do you provide coordination for car pooling? (e.g., bulletin boards online or onsite, employee zip code
mapping)

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9. Do you allow telecommuting?

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10. Do you provide flexible work hour schedules? (e.g., 10 hours per day, 4 day work week)

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11. Do you provide staggered start and end times?

Education

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12. Do you promote and provide information about transportation options to employees? (e.g. transit, biking,
walking, carpooling, vanpooling etc...)

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13. Do you provide information about the health benefits of using alternative forms of transportation?

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14. Do you participate in Bike to Work days?

Incentives

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15. Do you provide any alternate transportation pretax benefits for employees?

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16. Do you provide free parking for employees?

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17. Do you provide free transit passes for employees? ( If yes, skip the next question)

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18. Do you subsidize transit passes? (Please check yes below to the only percentage that applies)

  No Yes Yes, and have measurable data
Subsidize-up to 24%
Subsidize 25% to 49%
Subsidize 50% to 99%

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19. Please describe the incentives provided toward the purchase of fuel efficient cars.

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20. Please describe the incentives provided for employees walking and biking to work.

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21. Please describe the incentives provided for the use of shared van transportation to and from work.

Facility Investments

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22. Do you have secure outdoor bike parking onsite for employees?

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23. Do you have secure covered outdoor bike parking onsite for employees?

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24. Do you have secure indoor bike parking onsite for employees?

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25. Do you provide showers onsite for employees biking, walking, and running?

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26. Do you provide changing rooms onsite for employees biking, walking, and running?

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27. Have you invested in telecommuting capabilities to reduce travel?

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28. Have you invested in video conferencing capabilities to reduce travel?

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29. Please list and describe any additional policies, programs, and/or incentives encouraging alternative transportation choices that your organization participates in that is not captured in the previous questions of this survey:

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30. What percentage of your employees within NOACA's region use alternative transportation methods to travel to or from work (at least once a week)?

Thank you for taking the survey!

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