Sample Transportation Survey for Towns – Vermont ...



Sample Transportation Survey for Towns – Vermont Transportation Efficiency NetworkOur town is currently conducting a survey to determine the transportation needs of our community. We appreciate your time and valuable input in this process.Where in town do you live?( ) Village( ) Countryside( ) The waterfrontWhich of the following best describes you? Check all that apply.[ ] Employed full-time, including self-employed[ ] Employed part-time, including self-employed[ ] Student[ ] Stay-at-home parent/guardian[ ] Retired[ ] Regular volunteer[ ] Not employed[ ] Other: _________________________________________________If you are employed, where do you work? Please name your primary workplace if you work two or more jobs._________________________________________________If you are a student, where do you go to school?_________________________________________________The following questions are for people who are employed full- or part-time.How many miles do you travel for work EACH WAY?How did you get to work on your most recent work day? Check all that apply.[ ] Drove alone[ ] Dropped kids off and then drove to work[ ] Carpooled[ ] Got dropped off[ ] Rode the bus[ ] Biked[ ] Walked[ ] Worked from home instead of travelling to a worksiteDuring the past month, did you get to or from work using any of the following options? Check all that apply.[ ] Dropped kids off and drove myself to work[ ] Carpooled[ ] Got dropped off[ ] Biked[ ] Walked[ ] Worked from home/telecommuted[ ] Ride a busComments: If you drive to work, how many miles per gallon does your vehicle get?*_________________________________________________If you carpool, ride the bus, bike, walk, or telecommute, why do you do it? Check all that apply.[ ] Save money[ ] It was easy or convenient[ ] I don't have a car[ ] I don't have a license[ ] Decrease my carbon dioxide emissions[ ] Reduce reliance on foreign oil[ ] Get exercise[ ] Avoid driving in bad weather[ ] My car was in the shop[ ] Parking is hard to find[ ] Get to better know my neighbors, co-workers, etc.[ ] Other: _________________________________________________The following two quick questions are for people who carpool to work. Please skip to the next page if you do not carpool.How many people typically carpool with you?( ) 1( ) 2( ) 3( ) 4( ) It variesWho carpools with you? Check all that apply.[ ] Friend(s)[ ] Neighbor(s)[ ] Family member(s) or partner[ ] Stranger(s)[ ] Co-worker(s)[ ] Other: _________________________________________________The following are questions for students.How did you get to school on your most recent school day? Check all that apply.*[ ] Drove alone[ ] Carpooled[ ] Got dropped off[ ] Rode the bus[ ] Biked[ ] WalkedDuring the previous month, did you get to or from school using any of the following options?[ ] Drive alone[ ] Carpool[ ] Get dropped off[ ] Bike[ ] Walk[ ] Ride a busComments: If you use a motor vehicle to get to school, how many miles per gallon does your vehicle get? Please consider your primary vehicle.What prevents you from biking or walking to school more often?[ ] I live too far from my school.[ ] It is dangerous to bike or walk.[ ] I don't want to arrive sweaty to school.[ ] I arrive or leave school when it is dark outside.[ ] I need to pick up/drop off a child/children.[ ] My schedule is not flexible.[ ] I do not have a bike.[ ] Bike storage is inadequate at my destination.[ ] I have too much to carry.[ ] I don't have the energy to bike or walk.[ ] I bike or walk as much as I can already.[ ] OtherThis page is for retirees.Do you have difficulty getting to any of the following places? Check all that apply.[ ] Doctor's appointments[ ] Grocery store and other shopping[ ] Library[ ] Senior center[ ] Places to socialize[ ] Pharmacy[ ] See family members[ ] None of the aboveIf you're still driving, are you concerned about how you will access services if you need to stop driving?( ) Yes( ) No( ) Not sureComments: Are you interested in being a volunteer driver for a local human service agency? You can receive $0.56/mile for your services and meet new people.[ ] Yes - Contact me here: _________________________________________________[ ] Maybe - Contact me here: _________________________________________________[ ] NoWould any other resources help address your transportation needs?____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ We'd like to know your experience using or thinking about different transportation options.What best describes your experience with the local bus?( ) I have not heard of the local bus.( ) I know about the bus, but I have not tried it.( ) I know about the bus, but it does not fit my schedule.( ) I know about the bus, but it does not go near my workplace.( ) I use the bus, but only rarely (a few times per year).( ) I use the bus occasionally (a few times per month).( ) I use the bus frequently (a few times per week or more).Comments: What would encourage you to ride the bus more often? Check all that apply.[ ] Earlier service[ ] Evening service[ ] Weekend service[ ] Basic information about the bus[ ] A bus stop or shelter closer to my home[ ] A bus stop or shelter closer to my destination[ ] More frequent service[ ] More comfortable seating[ ] Wi-Fi on the bus[ ] Easier way to understand the schedule/routes[ ] I already ride the bus as much as I can.[ ] Nothing will encourage me to ride the bus[ ] Other: _________________________________________________Comments: What is your experience with the Go! Vermont program ()? Check all that apply.[ ] I am not aware of Go! Vermont.[ ] I am aware of Go! Vermont, but haven't tried it.[ ] I had difficulty using the Go! Vermont website.[ ] I tried Go! Vermont, but couldn't find a carpool.[ ] I tried Go! Vermont, but didn't want to carpool with someone I don't know.[ ] I found a carpool on Go! Vermont.[ ] I have used Go! Vermont to share rides on long-distance trips.[ ] I have used Go! Vermont to encourage people to share rides to an event, conference, meeting, ments: What prevents you from biking or walking to destinations more often? Check all that apply.[ ] I live too far from most destinations.[ ] It is dangerous to bike or walk in my area.[ ] I don't want to arrive sweaty to work.[ ] I arrive or leave work when it is dark outside.[ ] I need to pick up/drop off a child/children.[ ] My schedule is not flexible.[ ] I do not have a bike.[ ] Bike storage is inadequate at my destination.[ ] I have too much to carry.[ ] I don't have the energy to bike or walk.[ ] I bike or walk as much as I can already.[ ] Other: _________________________________________________Comments: What would encourage you to walk or bike more often?[ ] Painted bike lanes on roads[ ] Bike paths separated from roadways[ ] More sidewalks[ ] Better crosswalks (e.g., walk signals and better alignment)[ ] Showers available at my destination[ ] Bike racks at my destination[ ] A bike with an electric-assist motor[ ] Nothing will encourage me to bike or walk[ ] Other: _________________________________________________Comments: What prevents you from carpooling more often? Check all that apply.[ ] I need to drop off/pick up children.[ ] I don't know anyone who can carpool with me.[ ] I like driving alone.[ ] My schedule is not flexible.[ ] I need to run errands or travel for work during the day.[ ] I live too close to work to bother.[ ] It takes too much time to carpool.[ ] I already carpool as much as I can.[ ] Other: _________________________________________________Comments: What would encourage you to carpool more often? Check all that apply.[ ] Employer-provided information to connect me with coworkers who have similar commutes.[ ] Better parking space[ ] Monthly prize drawing[ ] Increased gas prices[ ] Website connecting me to people with similar commutes[ ] I already carpool as much as I can.[ ] Nothing will encourage me to carpool.How would you prefer to meet potential carpool partners? Check all that apply.[ ] Employer-provided information to match me with potential carpool partners at work.[ ] Town-sponsored carpool meetup at the park-and-ride[ ] Website connecting me to people with similar commutes[ ] Smart phone app to match me with people in real time[ ] I'd ask friends, neighbors, or coworkers[ ] Other: _________________________________________________Do you agree or disagree with the following statements?AgreeDisagreeN/AMy home is conveniently located near workplaces.( ) ( ) ( ) My home is conveniently located near schools.( ) ( ) ( ) It is easy for me to purchase groceries that appeal to me near my home.( ) ( ) ( ) It is easy for me to get to medical appointments.( ) ( ) ( ) It is easy for me to get to a pharmacy.( ) ( ) ( ) It is easy for me to travel to social events.( ) ( ) ( ) Thinking about options available in town, which of the following projects would appeal to you?[ ] Expand existing park-and-ride[ ] Build new park-and-ride[ ] Expand public bus service[ ] Add bike lanes to roads[ ] Install sidewalks[ ] Improve internet access so I can do more things from home[ ] Encourage more businesses in town[ ] Encourage more housing in town[ ] Provide an easy way for me to meet people who want to share rides[ ] Car share program (rent a vehicle for a short period of time, like ZipCar)[ ] Bike share program (rent a bike for a short period of time)[ ] Commuter van (8+ people from my town share a van and commute together)[ ] Electric vehicle charging stations in town[ ] Affordable office space I can rent in town instead of driving to work[ ] Improve school bus service (please explain): _________________________________________________These final questions are intended to see whether we got a representative sample from town.How old are you?( ) I prefer not to answer.( ) under 18( ) 18-24( ) 25-34( ) 35-44( ) 45-54( ) 55-64( ) 65-74( ) 75 or olderWhat is the highest level of education you've completed?( ) 12th grade or less( ) Graduated high school or equivalent( ) Some college, no degree( ) Associate degree( ) Bachelor's degree( ) Post-graduate degree( ) I prefer not to answerWhat is your annual household income before taxes?( ) I prefer not to answer.( ) Less than $25,000( ) $25,000 to $34,999( ) $35,000 to $49,999( ) $50,000 to $74,999( ) $75,000 to $99,999( ) $100,000 to $124,999( ) $125,000 to $149,999( ) $150,000 or moreIf you would like to receive updates on transportation happenings in our area, enter your e-mail address here._________________________________________________Thank You!Thank you for taking the transportation survey. Your response will help us improve transportation options in town. ................
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