CARPOOL INCENTIVE PROGRAM
Carpool Survey

Period:________________  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 single occupant vehicle trips reduced by making trips by carpool.  Please use the space provided to give any additional comments on the program.

Name:  ______________________________Company:__________________________________________

1. During ___________________(Month), about how many days per week did you travel to work by carpool? 
    Please give any details on how has your new transportation mode impacted your commute.
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[  ] None
[  ] 1-2 a week
[  ] 3-5+ a week

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

3. About how many non-commute trips a week do you make by carpool?  Please describe (recreational, errands, store, etc.)
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[ ] None
[  ] 1-2
[  ] 3-5+

4. About how many non-commute miles a week do you travel by carpool?
 
 

[  ] 0-20 [  ] 21-40 [  ] 41-60
[  ] 61-80 [  ] 81-100 [  ] 101-125
[  ] 125-150 [  ] More than 150