2011 Car Free Day Pledge

1. 2011 Car Free Day Pledge

On Thursday, September 22, the Corvallis community will join with people across the globe to participate in World Car Free Day – a time for individuals and communities to come together to explore the benefits of walking, biking, and using public transit to get us where we need to go.

Whether you’re looking to save money, reduce your energy use, or simply enjoy the health and social benefits of being car free, you are invited to participate in Car Free Day. There will be activities at various sites throughout the day, culminating in a Car Free Day Festival at Central Park (4:00 to 7:00 pm), including a Bike Swap and plenty of delicious food, helpful information, and lively entertainment.

Please fill out the survey below to pledge your active support of World Car Free Day. Thank you!

Question Title

* 1. I pledge to participate in World Car Free Day by getting where I need to go on September 22 in one or more of the following ways (check all that apply):

Walk

Bike

Bus

Other (please specify)

Question Title

* 2. I am unable to use alternative transportation. However, I pledge to reduce my use of the car on September 22 by (check all that apply):

Ride-sharing

Telecommuting (i.e., working from home)

Other (please specify)

Question Title

* 3. I would like help planning my routes on Car Free Day:

Yes, I’d like to be contacted by the City’s Alternative Transportation Specialist.

No, I don’t need help.

Question Title

* 4. From 7 to 9 am on Thursday, September 22, there will be check-in sites located around the community to provide information and support to everyone participating in Car Free Day. Which of the following sites are you most likely to use? (Check one.)

NOTE: Everyone who registers at one of the check-in sites will be eligible to enter a drawing for prizes that support use of alternative transportation. Winners will be announced at the Car Free Day Festival at Central Park from 4 to 7 pm on September 22. You need not be present to win.

Downtown Transit Center (Monroe & 5th)

The Beanery (Circle near 9th)

South Co-op (3rd & Chapman)

North Co-op (29th & Grant)

Cheldelin Middle School (Conifer & Dorchester)

Corvallis High School (Buchanan & 11th)

Northwest Hills Community Church (Walnut west of 29th)

Crossroads Christian Fellowship (Walnut & Highland - SE corner)

OSU MU Brick Mall (near the bookstore)

Western View (35th & Philomath, near bike path)

Question Title

* 5. To take the Car Free Day Pledge, please enter your name below. If you would like to be contacted, include your email address or phone number.

Your name

Contact information (optional)

We are collecting data to assist us in evaluating participation in World Car Free Day, as well as to determine how best to increase the use of alternative transportation throughout the year. Your responses to the following questions will help us collect the needed data. Thank you for your help!

Question Title

* 6. In a typical week, how do you get where you need to go (work, school, shopping, etc.)? Check all that apply.

	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday
Drive alone	Drive alone Monday	Drive alone Tuesday	Drive alone Wednesday	Drive alone Thursday	Drive alone Friday	Drive alone Saturday	Drive alone Sunday
Bicycle	Bicycle Monday	Bicycle Tuesday	Bicycle Wednesday	Bicycle Thursday	Bicycle Friday	Bicycle Saturday	Bicycle Sunday
Bus	Bus Monday	Bus Tuesday	Bus Wednesday	Bus Thursday	Bus Friday	Bus Saturday	Bus Sunday
Car/van pool	Car/van pool Monday	Car/van pool Tuesday	Car/van pool Wednesday	Car/van pool Thursday	Car/van pool Friday	Car/van pool Saturday	Car/van pool Sunday
Walk	Walk Monday	Walk Tuesday	Walk Wednesday	Walk Thursday	Walk Friday	Walk Saturday	Walk Sunday

Question Title

* 7. How many miles do you travel during the course of an average day to get where you need to go (school, work, shopping, etc.)?

Less than 1 mile

1-3 miles

3-5 miles

5-10 miles

More than 10 miles

Question Title

* 8. If you drive alone, would you like to drive less?

Yes

Not applicable

Question Title

* 9. What benefits do you see to driving less? Check all that apply.

Save money

Get more exercise

Less congestion

Reduce my impact on the environment

Ease of parking

Experience Corvallis in a different way

Other (please specify)

Question Title

* 10. For yourself, what obstacles to commuting by bus, bicycle, car/van pool or walking do you see?
Check all that apply.

Bus route not close enough to where I live

Bus not available at the times I need it

I live too far away to bicycle

I don't feel safe riding in traffic

I get too tired bicycling to work

Bicycling or walking would take too long

I don't have a way to carry what I need on my bicycle

My bicycle needs repair to be safe and convenient to ride

Other (please specify)

Question Title

* 11. What suggestions do you have that would motivate you to use alternative transportation?

I'd like help finding a car/van pool

I'd like a bicycle commuting class

Education for drivers, cyclists, and pedestrians on rules of the road

Other (please specify)

Question Title

* 12. Are there facilities (bus stops, bus routes, bike lanes, pathways, sidewalks, etc.) missing that would help you commute by alternative forms? If so, what are they and where?

Question Title

* 1. I pledge to participate in World Car Free Day by getting where I need to go on September 22 in one or more of the following ways (check all that apply):

Question Title

* 2. I am unable to use alternative transportation. However, I pledge to reduce my use of the car on September 22 by (check all that apply):

Question Title

* 3. I would like help planning my routes on Car Free Day:

Question Title

Question Title

* 5. To take the Car Free Day Pledge, please enter your name below. If you would like to be contacted, include your email address or phone number.

Question Title

* 6. In a typical week, how do you get where you need to go (work, school, shopping, etc.)? Check all that apply.

Question Title

* 7. How many miles do you travel during the course of an average day to get where you need to go (school, work, shopping, etc.)?

Question Title

* 8. If you drive alone, would you like to drive less?

Question Title

* 9. What benefits do you see to driving less? Check all that apply.

Question Title

* 10. For yourself, what obstacles to commuting by bus, bicycle, car/van pool or walking do you see?Check all that apply.

Question Title

* 11. What suggestions do you have that would motivate you to use alternative transportation?

Question Title

* 12. Are there facilities (bus stops, bus routes, bike lanes, pathways, sidewalks, etc.) missing that would help you commute by alternative forms? If so, what are they and where?

* 10. For yourself, what obstacles to commuting by bus, bicycle, car/van pool or walking do you see?
Check all that apply.