Trip Reduction Survey – Phoenix • Hensley Beverage Company

Name

First Last

What is the best contact phone number or email address for you?

Last month, did you (choose all that apply)

Carpool

Telecommute

Work a condensed work week

Take public transportation

Walk

Ride a bike

None of the above

If you carpooled, who was it with?

What is one of the dates in which you practiced travel reduction?

How many days last month did you practice travel reduction?

What is your home zip code?

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