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Puyallup In Motion Travel Survey

Travel Information

To receive FREE travel information and incentives tailored to your needs, please complete the following survey.

1. Home Address *This question is required.

Street Address

City

Zip

2. How did you commute to work or school last week? Check the box for the primary mode you used each day. *This question is required.

Space Cell	Drive Alone	Carpool	Vanpool	Bus	Train (Sounder)	Bike	Walk	Telecommute	No trips taken
Monday	Monday: Drive Alone	Monday: Carpool	Monday: Vanpool	Monday: Bus	Monday: Train (Sounder)	Monday: Bike	Monday: Walk	Monday: Telecommute	Monday: No trips taken
Tuesday	Tuesday: Drive Alone	Tuesday: Carpool	Tuesday: Vanpool	Tuesday: Bus	Tuesday: Train (Sounder)	Tuesday: Bike	Tuesday: Walk	Tuesday: Telecommute	Tuesday: No trips taken
Wednesday	Wednesday: Drive Alone	Wednesday: Carpool	Wednesday: Vanpool	Wednesday: Bus	Wednesday: Train (Sounder)	Wednesday: Bike	Wednesday: Walk	Wednesday: Telecommute	Wednesday: No trips taken
Thursday	Thursday: Drive Alone	Thursday: Carpool	Thursday: Vanpool	Thursday: Bus	Thursday: Train (Sounder)	Thursday: Bike	Thursday: Walk	Thursday: Telecommute	Thursday: No trips taken
Friday	Friday: Drive Alone	Friday: Carpool	Friday: Vanpool	Friday: Bus	Friday: Train (Sounder)	Friday: Bike	Friday: Walk	Friday: Telecommute	Friday: No trips taken
Saturday	Saturday: Drive Alone	Saturday: Carpool	Saturday: Vanpool	Saturday: Bus	Saturday: Train (Sounder)	Saturday: Bike	Saturday: Walk	Saturday: Telecommute	Saturday: No trips taken
Sunday	Sunday : Drive Alone	Sunday : Carpool	Sunday : Vanpool	Sunday : Bus	Sunday : Train (Sounder)	Sunday : Bike	Sunday : Walk	Sunday : Telecommute	Sunday : No trips taken

3. How many miles do you commute (one-way)? *This question is required.

4. How many people live in your household?

Adults
Children (under 16)

5. How many vehicles are available in your household?

Cars
Bikes

6. I would like to request information about the following modes (check all that apply):

7. I would like to request the following incentives (check all that apply):

ORCA Card preloaded with $10 to ride transit regionally
Pierce Transit free 2-week bus pass

8. Would you consider shifting some of your weekly drive-alone trips to walk, bike, transit or carpool trips? If so, what type of trips would you consider changing?

Work trips
School trips
Errands
Recreation/Fitness trips
Entertainment trips
Restaurant/dining trips
Other - Write In Please enter an 'other' value for this selection.

9. What would be your reasons for changing those trips?

Save Money
Save Time
Reduce Stress
Get Exercise
Be More Environmentally Friendly
Other - Write In Please enter an 'other' value for this selection.

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