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2. What zip code do you live in?
3. What zip code do you work in?
5. How do you usually get to work?

   1. Carpool
   2. Vanpool
   3. MTA Commuter Bus
   4. MARC
   5. Harford Transit
   6. Drive Alone
6. Have you changed your commute because of congestion and if yes then how??
8. Have you changed your commute because of higher gas prices?
9. Is there free and/or plentiful parking at or near your job site?
11. How long is your commute to work?
12. What commuter incentives does your employer provide?

    1. Sells Bus Passes at Job Site
    2. Free Bus Passes
    3. Free Parking for Carpool/Vanpool
    4. Transit Subsidy
    5. Flexible Schedule
    6. Rideshare Assistance
    7. Pre Tax Payroll Deduction
    8. Vouchers
    9. Other
14. What incentive would you need to try Transit/Carpool/Vanpool/MARC?

    1. Bus Passes Sold at Job Site
    2. Free Bus Passes
    3. Free Parking for Carpool/Vanpool
    4. Transit Subsidy
    5. Flexible Schedule
    6. Rideshare Assistance
    7. Pre Tax Payroll Deduction
    8. Guaranteed Ride Home
    9. Vouchers
    10. Other
15. Are you aware there is transit service in Harford County?
17. Are you familiar with Harford Commuter Assistance?
18. Are you interested in joining a carpool or a vanpool?
20. Name
21. Address
23. City
24. State
25. Zip Code
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27. 1. Receive an email copy of this form.
28. Email address

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29. Submit

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