Transportation Survey

* 1. How do you currently travel to work?  (Choose all that apply)

* 2. On what day(s) of the week do you find it more difficult to get to work? (Choose all that apply)

* 3. During what time(s) of the day is it more difficult for you to get to/from work? (Choose all that apply)

* 4. Are you legally permitted to drive?

* 5. Have you ever quit a job or lost a job due to a lack of reliable transportation?

* 6. Does a lack of transportation options currently prevent you from driving?

* 7. If you answered 'Yes' to question 6, please specify your response here. (Check all that apply).

* 8. What is the maximum amount you would be willing to pay for a reliable one-way ride to or from work?

* 9. How much time do you currently spend on a one-way trip to your place of employment?

* 10. If you could design an alternative means to get to work, which of the following characteristics would be most important to you? (Choose all that apply)

* 11. What is your employers postal zip code?

* 12. What is your home postal zip code?

* 13. Would you like someone to contact you to help explore available transportation options that could help you get to/from work?

* 14. Please provide any suggestions you have about improving your community's transportation services: