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Which transportation option are you interested in hearing about?

Poll question: Which transportation option are you interested in hearing about?. Select one or more options.
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Home address

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Work address

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What time do you ARRIVE at work? Please indicate a time and if the time is AM or PM.

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What time do you DEPART from work? Please indicate a time and if the time is AM or PM.

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What is your flexibility with your departure and arrival times stated above?

Poll question: What is your flexibility with your departure and arrival times stated above?. Select one option.
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Do you make a regular stop on the way to work or when returning home? e.g. daycare, child's school, etc.

Poll question: Do you make a regular stop on the way to work or when returning home? e.g. daycare, child's school, etc.. Select one or more options.
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What is the address of your regular stop on the way to work and/or when returning home?

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How did you learn about the Request for Commute Smart Plan service?

Poll question: How did you learn about the Request for Commute Smart Plan service?. Select one or more options.
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If you indicated "Other" above, please tell us how you heard here.

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* Provide your contact information so we can send your Commute Smart Plan and in case we have questions.

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How do you prefer to receive your Commute Smart plan?

Poll question: How do you prefer to receive your Commute Smart plan?. Select one option.
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If you prefer to receive the information by telephone, when is the best time to reach you? Please indicate a time and if the time is AM or PM.