Sample Transportation Survey for Towns – Vermont Transportation Efficiency Network
Our 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 waterfront
Which 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 worksite
During 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 bus
Comments:
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 varies
Who 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
[ ] Walked
During 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 bus
Comments:
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. / [ ] Other
This 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 above
If you're still driving, are you concerned about how you will access services if you need to stop driving?
( ) Yes
( ) No
( ) Not sure
Comments:
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: ______
[ ] No
Would 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, etc.
Comments:
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?
Agree / Disagree / N/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 older
What 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 answer
What 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 more
If 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.
1 | Sample Town Transportation Survey