Please provide the following information to join the Commute Tracker program.
| Employer State: |
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Employer:
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| First Name: |
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| Last Name: |
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| Home Address: |
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| City: |
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| State: |
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| Zip: |
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| E-Mail: |
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| Phone #: |
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Password:
(4-12 characters) |
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| Confirm your Password: |
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New User Questionnaire
Last week, what type of transportation did you use each day to commute TO your
usual work location?
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Fill in ONLY ONE type of transportation per day.
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If you used more than one type, fill in the type used for the LONGEST DISTANCE.
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Fill in "Carpool" only if at least one other person age 16 or older was in the
vehicle.
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Fill in "Teleworked" if you eliminated a commute trip by working at home, at a
Telework Center or at a Satellite Office less than one-half as far from home as
your usual work location.
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Type of transportation per day |
Other |
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| Monday |
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* |
| Tuesday |
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* |
| Wednesday |
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* |
| Thursday |
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* |
| Friday |
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* |
| Saturday |
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* |
| Sunday |
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* |
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For the past three months, what mode of transportation did you predominantly use
to get to work?
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If you are in a carpool or vanpool, or if you ride a motorcycle, how many
people (age 16 or older) are usually in the vehicle, including yourself?
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Which of the following most fits your normal work schedule?
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ONE WAY, how many miles do you commute from home TO your usual work location?
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DO NOT use roundtrip or weekly distance.
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Include miles for errands or stops made daily on the way to work.
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If you telework, report the miles from your residence to your worksite.
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Round off the distance traveled to the nearest mile.
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