1. 2013 Car Free Day Pledge

Sunday, September 22, is the 4th Annual Car Free Day in Corvallis – a time for individuals and the community to come together to explore transportation options 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. A Car Free Day Festival at Riverfront Park (1:00 to 4:00 pm) will feature food, music, games, a bike parade, a Bike Swap Meet, and more. Plan to join in the fun at this family-friendly event!

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

* 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):

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

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

* 4. Car Free Day on Sunday, September 22, will include group bike rides from Neighborhood Gathering Points to the festival at Riverfront Park. Bike safety checks will be offered prior to the ride, and group leaders will take the group on a designated route.

Meet at the site nearest you at 12:30 pm to participate in the fun and empowering experience of a group bike ride! Which of the following Neighborhood Gathering Points are you most likely to join? (Check one.)

* 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.

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 transportation options throughout the year. Your responses to the following questions will help us collect the needed data. Thank you for your help!

* 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
Car/van pool

* 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.)?

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

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

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

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

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