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Vanpool Interest Questionnaire

This questionnaire will help Eastern Sierra Transit better understand your commute
transportation needs, and to match you with other employees who may be interested
in forming a Vanpool. Please provide your answers in the blue shaded text boxes.
Place an “X” in the small boxes next to a selection to mark your answer. Please be
assured that all survey results will be maintained in confidence and individuals will
only be contacted if they indicate that is their wish. Please return your completed
survey to us by e-mail to

If you have any questions, please contact Eastern Sierra Transit at,
or by phone at 800.922.1930.

1. Name:

2. Contact info (e-mail address or phone number)

3. I live in or near the following communities (e.g. Bishop, Bridgeport, Crowley

Lake, Mammoth Lakes, etc.)

4. I work in or near the following community

5. I typically work the following schedule:

Five 8-hour days/week

Four 10-hour days/week
9-80 (80 hours in 9 days/2week period
Other (please specify below

6. I typically work the following days:

Monday through Friday

Other (please specify below
7. I normally work from:
Start Time: End Time:

8. During a normal work week:

I arrive and leave at nearly the same time every day
My work hours vary occasionally
I regularly start and finish work at different times

9. I use my car to leave the work site at lunch or on breaks an average of:
Once a Twice a 3 or more Never
week week times/week

10. I have other needs for my car during the work week such as:
Dropping off or picking up my children at school/daycare
Dropping off or picking up spouse or other person at work
Running errands
Attending work related meetings
Attending doctor’s appointments
Other (please specify below

11. My thoughts regarding using a vanpool are best summarized as:

I am definitely interested in using a vanpool to commute to work
I would use a vanpool if it was less expensive than driving
I would use a vanpool if I knew the other passengers
I am not interested in using a vanpool
Other (please specify below

12. I estimate that my total weekly cost of commuting to work (fuel, maintenance,
insurance, depreciation) is:

Vanpool Interest Questionnaire 1

Please share any other comments you may have regarding your commute, and how
a vanpool might be of benefit to you:

Vanpool Interest Questionnaire 2