VANPOOL INCENTIVE PROGRAM
Monthly Survey

Month:________________   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 similar programs in the future.  We'll also report to the Yolo-Solano Air Quality Management District and SACOG the single occupant vehicle trips reduced by making trips by vanpool.  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 use the vanpool to travel work?  Please give any details on how has your new transportation mode impacted your commute.
______________________________________________________________________________________
______________________________________________________________________________________
 

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

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

3. About how many non-commute trips a week do you make by vanpool?
Please describe (recreational, errands, store, etc.).
 

[  ] None
[  ] 1-2
[  ] 3-5+

Comments:   __________________________________________________________

4. About how many non-commute miles a week do you make by vanpool?
 

[  ] 0-20 [  ] 81-100 
[  ] 21-40  [  ] 101-125
[  ] 41-60  [  ] 126-150
[  ] 61-80 [  ] More than 150

Bill Fairbairn, Executive Director
Yolo Transportation Management Association
770 Dead Cat Alley, Suite 201
Woodland, CA 95695
530-669-1446
530-669-6835 - fax