You can fill out this survey once per day; the more days you participate, the better your chances of winning!
Please note: To keep things fair, you will only be eligible for prizes if you enter 7 times or fewer during Green Commute Week.

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1. What is your first and last name?

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3. How many miles did you travel using green transportation? (Required.)

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4. Where did you green commute to?
(Ex. From___ to___, in ___ township/city)

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5. What mode of green transportation did you use? (Required.)

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6. What motivated you to participate in the Green Commute Week? Select all that apply!

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7. What organization are you participating with? Leave blank if none.

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