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To download this survey as a PDF file please click here .

To fill out the PDF file please type into the boxes provided or choose options as appropriate, then print.

  
1 - general information
a Which company do you work for?  

 
b What is your home postcode?  

 
c Your gender?  

Male     Female

 
d Which is your age group?  

 
e Are you full time or part time?  

 
f Do you have a permanent or temporary disability that affects your mobility?  

 
g What time did you arrive at work today? (use 24 hour clock) e.g. 09:00  

:

 
h What time do you expect to leave the work today? (use 24 hour clock) e.g. 18:30  

:

 
2- Travel Patterns
i What is the main form of transport you use to get to work?  


 
j How often do you travel to work by the transport specified in question i?  

 
k
Which transport methods do you use occasionally for your journey to work? (Tick all that apply)
 
Car driver (on own) Motorcycle/Scooter Bus
Car driver (with passengers) Cycle Taxi
Walk Train (Overground) Train and Underground
Other (Please specify)     
 
l Has the introduction of the congestion charging scheme changed your mode of travel to and from work?   Yes (go to m)    
 No (go to n) 		 
m
Which of the following types of transport have you switched to? (tick all that apply)
 
Car driver (on own) Motorcycle/Scooter Bus
Car driver (with passengers) Cycle Taxi
Walk Train (Overground) Train and Underground
Other (Please specify)     
 
n  How long does your journey take on average?    
3 – Car Drivers ONLY (none-car drivers please go to Section 4)
o Do you have a council parking permit?  

Yes       No

 
p If no, where do you normally park?  


 
q
For all the reasons listed below, please indicate those that influence your decision to drive to work? (Please tick all that apply)
 
a. Need to use the car during the day for work trips b. Cheaper to use the car than public transport
c. Public transport is available but not convenient d. Public transport is not available
e. Too far to walk or cycle f. Do not have enough information about public transport
g. Personal security reasons h. Quicker to use the car than other forms of transport
i. Personal preference j. Drop off/collect family member on the way to/from work
 
4 – ALL TO ANSWER – Alternatives
In the following questions please choose the various measures which you belive might improve your travel choice to work.
r
Which of are the following changes would encourage you to walk and cycle to work, or improve your journey to work?
(Please tick all that apply)
 
1 Improved shower and changing facilities at work 2 Better pedestrian/cycle routes
3 Better information e.g. pedestrian/cycle routes on site maps 4 Secure, appropriate and well located cycle parking
5 Provision of ‘pool’ cycles for business use 6 Availability of an interest free loan to purchase a cycle and equipment
7 Mileage allowance for use of cycle for business purposes  
   
 
s
Which of the following changes would encourage you to travel by bus to work, or if you already do so, which changes would improve your journey? (Please tick all that apply)
 
1 Availability of public transport information (i.e. timetables) 2 Better quality/standard of buses
3 More direct bus services 4 More frequent services
5 Interest free loan to purchase transport season ticket 6 Discounted travel cards/season tickets
   
   
 
t
Which of the following changes would encourage you to travel by train/underground to work, or if you already do so, which changes would improve your journey? (Please tick all that apply)
 
1 Availability of public transport information (i.e. timetables) 2 Better quality/standard of carriages
3 Less congested trains 4 More frequent services
5 Interest free loan to purchase transport season ticket 6 Discounted travel cards/season tickets
   
   
 
u Would you regularly use an official car sharing scheme if one was introduced?   Yes      No  
v

 Would any of the following encourage you to car share?
  1 Finding a colleague with similar work patterns   Yes      No  
  2 Free guaranteed taxi ride home if car share lift becomes unavailable   Yes      No  
  3 Guaranteed parking space at work in a dedicated car share parking space   Yes      No  
5 – BUSINESS TRAVEL
w During the course of the working day do you ever leave the premises for business purposes?   Yes      No  
x How often do you make these journeys?  

 
y How do you normally travel?  


 
z If by car, how many business miles do you travel every year?  

 
  If you have any comments regarding your journey to work, and what might encourage you to walk, cycle, car share, use public transport or reduce travel, please type them in the box.