Bicycle Incentive Usage Survey
 

Month/Quarter ________________ Fax completed surveys to Yolo TMA 530-669-6835

The information you provide will help us design the next subsidy program if we receive funding to offer the program next year.  We?ll also report to the Yolo-Solano Air Quality Management District and SACOG the number of SOV trips eliminated by making trips by bicycle instead.  Please use the space provided to give any additional comments.


Name:____________________________________Company_________________________________________

1.  During ___________________Month/Quarter, about how many days a week did you bicycle to work? 
Please give details how your new bicycle commute impacted your routine.
__________________________________________________________________________________________

__________________________________________________________________________________________


                                                                        [  ]  None
                                                                        [  ] 1-2 a week
                                                                        [  ] 3-5+ a week

2.  How many of your commute miles a day are by bicycle?_______________ 
(This will include miles both to and from work.) 

About how many non-commute trips a week do you make on your bicycle? 
Please describe (recreational, errands, store, etc.).

                                                                      [  ]  None
                                                                      [  ] 1-2
                                                                      [  ] 3-5+

4.  About how many non-commute miles a week do you make on your new bicycle?