VEHICLE COUNT SURVEY FORM

STATION NO. : ____________________________ ROAD NAME: _____________________________________________________

Turn/Direction No.:

WEATHER: ____________________________ Turn No: ____________________

SURVEYOR: ____________________________ BARANGAY: ____________________ CITY/MUN:

DIRECTION: From: ____________________________ PROVINCE: REGION:

DIRECTION: To: ____________________________ DATE: ____________________ DAY: ____________________

TIME From : : To: :

MODE (Tally Sheet) TOTAL

ALL
PRIVATE
CAR/
TAXI/
VAN/
PICK-UP

JEEPNEY

VAN FOR
HIRE
(AUV, GT
EXPRESS)

BUS &
MINI BUS

GOODS
VEHICLE/
2-AXLE
TRUCK

TRUCK
(3 or
more
axles)

MOTOR
CYCLE

TRICYCLE

TOTAL

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