CARPOOL USAGE SURVEY

Month /Quarter For what year

The information you provide will help us design the next subsidy program if we receive funding to offer the program next year. We will also report to the Yolo-Solano Air Quality Management District and SACOG the number of SOV trips eliminated by making trips by bicycle instead. Please use the space provided to give any additional comments.

Name:
Address:
Company:

1. During Month /Quarter , about how many days per week did you travel to work by carpool?
Please give any details on how has your new transportation mode impacted your commute.

2. How many of your commute miles a day are by carpool?(Include miles both to and from work.)

3. About how many non-commute trips a week do you make by carpool?
Please check all that apply recreational errands store
school other

4. About how many non-commute miles a week do you travel by carpool?
0-20 21-40 41-60 61-80 81-100 101-125 126-150 More than 150

Please use the space below for any other information that you would like us to know about.

Please print and Fax completed surveys to Yolo TMA 530-669-6835 or
mail to: Yolo TMA, P.O. Box 996, Woodland, CA 95776