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* 1. I am a

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* 2. What town do you live in?

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* 3. On average, for the Fall semester, how many times EACH WEEK will you travel between home and MxCC's main campus in Middletown using the following transportation methods?

(Count each way separately - for example, driving your car and then returning home every weekday = 10 times a week. If you don't use a method, enter '0' or leave blank.)

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* 4. On average, for the Fall semester, how many times EACH WEEK will you travel between home and MxCC's Meriden Center using the following transportation methods?

(Count each way separately - for example, driving your car and then returning home every weekday = 10 times a week. If you don't use a method, enter '0' or leave blank.)

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* 5. On average, for the Fall semester, how many times EACH WEEK will you travel between the main campus and the Meriden Center using the following transportation methods?

(Count each way separately; enter '0' if a method isn't used or leave it blank.)

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* 6. If you drive a car, is it a .... ?

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* 7. If you travel to either campus by vehicle (drive, ride with someone, get dropped off), what is the vehicle's average gas mileage? Ex. 25 mpg. Feel free to guess. If you absolutely don't know, leave blank.

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* 8. If you would like to be entered into the prize drawing, please enter the information below. Only current MxCC students are eligible; you may only enter the drawing once.

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