Business Survey 2001

 Part A:  Information

Company Name:___________________________________________________

Work Location Address:_____________________________________________

Mailing Address:___________________________________________________

Date:______________________

1. Number of employees at this location:___________________

2. Number of employees scheduled to begin work between 6:00 - 10:00 am weekdays:__________

3. Describe the work schedule of the employees at this site:_______________________________ __________________________________________________________________________________________________________________________________________________________

4. Type of Work Location

Check the item that best describes this location

o	Remote: more than ½ mile to nearest other employer
o	Free standing building within ½ mile of other businesses
o	Multi-tenant area: other employers (in same or contiguous buildings)
o	Central business district/downtown location

5. Type of Business:

Part B:  Transportation Profile                                                      

1.  Parking Profile

1. Number of on-site parking spaces available to employees at this location: ___________
2. Check all items below that describe the parking accessibility at this location:

o	Employees charged for parking on premises.  Amount _____ per  o month  o day
o	Parking area is shared with other employers
o	Parking spaces leased or rented by employer

2.  Transit

Yes	No
o	o	Transit is available to this work location
o	o	Bus schedules and maps are provided for employees

3. Existing amenities

The following table lists services that may be located either at your work site or within walking distance (within ¼ mile).  These amenities may help support other types of transportation for your employees.  Indicate yes for those available at your work site or nearby.

o	Lunchroom with tables and chairs	o	Postal services
o	Refrigerator/Microwave	o	Medical services
o	Sink with soap/sponges	o	Grocery Store
o	Banking services	o	Pharmacy
o	Direct payroll check deposit	o	Dry cleaner
o	Bus Shelter/bench	o	Shopping center
o	Daycare/Elementary School	o	Shower Facilities/Lockers
o	Bicycle Racks	o	Other

Part C: Transportation Coordinator

Name:  Title:

Address:

Email Address:___________________________________________  Date:_________________

Telephone number: Fax number:

Part D: Additional Comments

For additional information, please contact the Chapel Hill Planning Department at 968-2728.  Employer and employee surveys will be required every two years beginning in year 2001.  The survey information will be mailed to the Transportation Coordinator in late summer and due to the Town of Chapel Hill by September 30^th. 

Town of Chapel Hill

2001 Employee Transportation Survey

Please complete the survey and return to your company’s transportation coordinator.

1. Home town / County:____________________________   Zip code:____________

2. Company Name: ___________________________

3. When do you usually leave for work? __:__ am  or  __:__ pm

4. When do you usually arrive at work? __:__ am  or   __:__ pm

5. When do you usually leave work?       __:__ am  or   __:__ pm

6. How do you usually get to work? 

o	Drive alone
o	Carpool
o	Vanpool
o	Bus
o	Walked
o	Bicycle
o	Park & Ride

8. Do you work within walking distance to a Chapel Hill Transit, Triangle Transit Authority or Orange County Public Transportation bus stop?

o	Yes
o	No
o	Don’t Know

10. How far is it from home to work each way?

o	Less than 5 miles
o	Between 5 and 10 miles
o	Between 10 and 20 miles
o	Over 20 miles

7. Have you ever used Chapel Hill Transit, the Triangle Transit Authority or Orange County Transit

o	Yes
o	No

9. Do you live within walking distance to a Chapel Hill Transit, Triangle Transit Authority or Orange County Public Transportation bus stop?

o	Yes
o	No
o	Don’t Know

11. How long does it take to get to work?

o	Less than 10 minutes
o	Between 10-15 minutes
o	Between 15-30 minutes
o	Over 30 minutes

12. Do you usually stop on the way to or from work?

o	Yes, child-pickup or drop-off
o	Yes, other reasons
o	Not usually

13.  Would you consider changing your commuting habits if you (check all that apply):

o	Could save money	o	Could find someone to carpool with
o	Could ride in a vanpool	o	Did not have to rideshare every day
o	Had preferred or reserved parking	o	Had help setting up a vanpool
o	Had ride home in emergency	o	Transit service was more convenient
o	Had information about transit/ridesharing	o	Would not consider any alternatives now

14. Pick any of the following options you would be willing to do on a continuing basis:

o	Use the bus system for free
o	Carpool with a free and/or preferred parking space
o	Commute by bicycle if covered storage was available for your bike and showers/lockers were available for your belongings
o	Commute by walking
o	Arrive at work before 7:30 am or after 9:00 am
o	Work a reduced work week (i.e. 4 days @10 hours per day)
o	None

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Please give your name and contact information, if you would like to receive information regarding:

o carpool match list; o vanpool rider/driver;  o bus services; or o bicycling

Name: ________________________________________________

Address:______________________________________________

            _______________________________________________

Phone Number:__________________________________________

Email Address:__________________________________________