CommuteInfo: For Employers: Employee Survey

For Employers: Employee Survey

Remember: fields marked with an asterisk (*) are required!!

*Code:
*E-mail Address:
*First Name:
*Last Name:

What are your typical work hours?

* Zip Code:
Sunday:	*Start Time:	:	*End Time:	:
Monday:	*Start Time:	:	*End Time:	:
Tuesday:	*Start Time:	:	*End Time:	:
Wednesday:	*Start Time:	:	*End Time:	:
Thursday:	*Start Time:	:	*End Time:	:
Friday:	*Start Time:	:	*End Time:	:
Saturday:	*Start Time:	:	*End Time:	:

* How do you currently travel to work? (Check All That Apply?)

Drive Alone	Carpool	Vanpool
Bus	The "T"	Walk

* Are you able to telecommute?
Yes No
If so, how many days per week?
1 2 3 4 or more

* Are you able to work a compressed schedule?
Yes No
If so, which day are you off?
Monday Friday

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