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State of Washington <br /> ornmute Commute Trip Reduction Program "- <br /> Trip <br /> Trip Employee Questionnaire = <br /> Reduction MARKING DIRECTIONS <br /> • Use a No.2 pencil. CORRECT MARK — <br /> • Fill in the circle completely. _ •• Erase cleanly any marks you wish to change. INCORRECT MARKS — <br /> • Do not make any stray marks on this form. '/ X .i'✓ — <br /> Please use a No. 2 pencil to complete this questionnaire. Fill in circles completely to indicate your answers. — <br /> ALL QUESTIONS REFER TO WORK FOR THIS EMPLOYER ONLY. — <br /> 1. Do you usually work 35 or more hours per week for this employer in a position intended to last 12 months or more? — <br /> Yes No — <br /> 2. Are you scheduled to arrive, or do you usually arrive, at your work location between 6 and 9 a.m.? — <br /> Yes _, No — <br /> 3. Last week, which days did you arrive at work between 6 and 9 a.m.? (Fill in all that apply.) — <br /> Monday Thursday — <br /> Tuesday Friday _ <br /> Wednesday None — <br /> 4a. Last week,what type of transportation did you use Monday through Friday to commute TO your usual work = <br /> location? <br /> • Fill in ONLY ONE type of transportation per day. <br /> • If you used more than one type, fill in the type used for the LONGEST DISTANCE. _ <br /> • Fill in "Carpool'only if at least one other person age 16 or older is in the vehicle. For example, driving children to daycare _ <br /> does not count as a carpool. <br /> • If you used a ferry for the longest distance. fill in the type of transportation you took onto the ferry. <br /> • If you reported to a different location for this employer, fill in the type of transportation used to get to that location. <br /> M T W Th F <br /> — <br /> M w m+t F Drove alone _ <br /> C? W ?n �F Carpool (2 or more people) 11110 <br /> (1-A C; w F Vanpool ► 4b. If you are in a carpool or vanpool, how — <br /> ,M rw F Motorcycle/Moped many people(age 16 or older) are usually — <br /> ? <br />