Before you can “Try-It” we need some brief information about your daily commute. This information will help us try and select a date, time, and location that can accommodate your schedule.

Survey results are confidential and will only be used for the purposes of developing vanpools at Wake Forest University.


* 1. Name

* 2. Phone Number

* 3. Email Address

* 4. Home City

* 5. Home Zip Code (enter 5 digit ZIP code; for example 27127 or 27006)

* 6. What is the closest major intersection to your home address? (for example: Chestnut Street and 5th Street)

* 7. What time do you usually arrive on campus?

 Time

* 8. What time do you usually leave campus?

Time

* 9. During the week of January 15th-January 19th, which dates would be most convenient for you to participate in the Vanpool “Try It” Campaign? Please select all that apply.

Thank you for taking the time to complete this survey. Your responses will help us launch WFU's first Vanpool "Try It" Campaign!

T