Exit this survey Commuter Connection Program _ Employee Survey Question Title * 1. What is your place of employment? Work Address: Employer Name: Question Title * 2. Where are you commuting from? City State Zip (5 digit+4) Question Title * 3. How do you commute to work? (select all that apply) Drive Alone Car Pool/Van Pool Public Transit Bicycle Walk Other (please specify) Question Title * 4. On average, how long does your commute take? <10 min 10-20 min 20-30 min 30-40 min 40-50 min >50 min Question Title * 5. What transportation alternatives are available for your commute? Public Transportation Walk Bicycle Other (please specify) Question Title * 6. Are transportation alternatives(public transit, bike lanes, pedestrian pathways) available for at least part of your commute? Yes No Question Title * 7. What is your typical commuting schedule(i.e.___AM to ___PM)? Question Title * 8. Do you transport children with your commute? Yes No Question Title * 9. On a scale, from 1-7, how interested are you in biking or walking for at least part of your commute? Not Interseted Interested Scale Scale Not Interseted Scale Scale Scale Scale Scale Scale Interested Question Title * 10. On a scale from 1-7, how interested are you in taking public transportation for at least part of your commute? Not Interseted Interested Scale Scale Not Interseted Scale Scale Scale Scale Scale Scale Interested Question Title * 11. On a scale 1-7, how safe do you consider the neighborhood around your house? Not Interseted Interested Scale Scale Not Interseted Scale Scale Scale Scale Scale Scale Interested Question Title * 12. On a scale from 1-7, how safe do you consider the neighborhood around your place of employment? Not Interseted Interested Scale Scale Not Interseted Scale Scale Scale Scale Scale Scale Interested Question Title * 13. What is your age group? <25 25-34 35-44 45-54 55-65 >65 Question Title * 14. What is your income level? <$20,000 $20,000-$50,000 $50,000-$80,000 >$80,000 Question Title * 15. Do you own a bicycle? Yes No If yes, how often do you ride in a week ? Next