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TRAVELSMART EMPLOYERS KIT, 2003

Getting Started

Staff Travel Survey

Questions

1. We need to start by asking about where you live. We understand that you may feel uncomfortable about giving out this information, so we have come up with a series of options you can choose from. The more detailed information you can give the better.

home address:

______________________

home suburb:

______________________

postcode:

______________________

Melways reference:
or
nearest main road intersection:

______________________

2. How did you travel to work today? (tick one box only)
If you used more than one form of transport, show method used for longest part of journey (distance and not time).

walk

Checkbox  

cycle

Checkbox  

drove alone

Checkbox  

drove with a passenger

Checkbox  

as a passenger in car

Checkbox  

tram

Checkbox  

bus

Checkbox  

staff bus

Checkbox  

motorbike

Checkbox  

train

Checkbox  

worked from home

Checkbox  

other (please specify)

Checkbox  

3. If you drove with a passenger or came as a passenger in a car, how many other people were there in the car?



4. If you used public transport, did you walk more than 15 minutes as part of your journey? (such as getting to the station)

yes

Checkbox  

no

Checkbox  

5. Do you ever travel to work another way?

yes

Checkbox  

no

Checkbox  

6. If yes, how often? _____________ times per month


7. On these other occasions, how do you travel to work? (tick all that apply)

walk

Checkbox  

cycle

Checkbox  

drove alone

Checkbox  

drove with a passenger

Checkbox  

as a passenger in car

Checkbox  

tram

Checkbox  

bus

Checkbox  

staff bus

Checkbox  

motorbike

Checkbox  

train

Checkbox  

worked from home

Checkbox  

other (please specify)

Checkbox  

8. What time do you normally arrive at work?



9. What time do you normally leave work?



10. Do any of the following influence the way you get to work? (tick all that apply)

 

No (go to question 11)

Checkbox  

disability

Checkbox  

dropping off children at school

Checkbox  

shopping

Checkbox  

car must be available for use of others at work

Checkbox  

carrying materials

Checkbox  

other (please specify)

Checkbox  
  Checkbox  

11. If you usually drive to work alone would you consider using any of the following alternatives on some days? (tick all that apply - if you already use one of these methods of transport go to question 19)

walk

Checkbox  

cycle

Checkbox  

drove alone

Checkbox  

drove with a passenger

Checkbox  

as a passenger in car

Checkbox  

tram

Checkbox  

bus

Checkbox  

staff bus

Checkbox  

motorbike

Checkbox  

train

Checkbox  

worked from home

Checkbox  

other (please specify)

Checkbox  
     

12. If you selected any of these travel alternatives, what would encourage you to use these (please list any suggestions for the types of travel you selected)

walking

Checkbox  

cycling

Checkbox  

driving alone

Checkbox  

driving with a passenger

Checkbox  

as a passenger in car

Checkbox  

tram

Checkbox  

bus

Checkbox  

train

Checkbox  

working from home

Checkbox  

other (please specify)

Checkbox  

13. If you usually drive to work alone, please indicate the engine capacity of your car ___________cc/litre


14. How many cylinders does it have?



15. What fuel does it use?

unleaded petrol

Checkbox  

leaded petrol

Checkbox  

gas

Checkbox  

diesel

Checkbox  

other (please specify)

_____________________

16. How much do you pay for parking each day? $_________


17. Is a car included as part of your salary package?

yes

Checkbox  

no
(go to question 19)

Checkbox  

18. If you did not receive a car as part of your salary package, would you still drive to work?

yes

Checkbox  

no

Checkbox  

19. What age group are you in?

0 - 19

Checkbox  

19 - 29

Checkbox  

29 - 39

Checkbox  

39 - 49

Checkbox  

49 - 59

Checkbox  

Over 59

Checkbox  

20. Are you

   

male

Checkbox  

female

Checkbox