Our records indicate you completed the NJ Department of Transportation's Carpooling Makes Sense Program at least 6 months ago and your carpool group received a $100 gas gift card. If you are still carpooling we would like to invite you to participate in Cross County Connection's Pooler Payback program. Once completed, this program will reward you with another $100 gas gift card for carpooling. The Program Rules are attached and in order to be eligible you must complete this survey and the enclosed registration form and return them to Cross County Connection as soon as possible. Your survey responses will assist us in improving our carpooling program and will be kept strictly confidential. Our supply of $100 gas gift cards is limited, so please don't delay. You may complete this survey online at www.driveless.com. Contact Information Q1 Carpool ID # Q2 Name Q3 Home Address Q4 Home Telephone Q5 Home Email Q6 Employer Name Q7 Work Address Q8 Work Telephone Q9 Work Email Q10 Are you still carpooling?   Yes No, Please Answer remaining questions based on your past experiences Carpool Group Information Q11 When you were participating in the Carpooling Makes Sense Program, did you carpool between the home and work addresses listed above?   Yes No, Please list other locations Q12 Please list your carpool partner(s) names:   1.   2.   3. Q14 Are you still carpooling with the person(s) listed above?   Yes No, i have new carpool partners. Please list names Q15 How long have you been carpooling? Q16 On average how many days per week do you carpool? Q17 Do you share the driving with your carpool partners?   Yes, we share the driving No, My partner does all of the driving. No, I do all of the driving Q18 Do you and your carpool partner(s) alternate vehicles for carpooling?   Yes No; we only use my vehicle No; we only use my carpooling partner's vehicle Q19 Do you and your carpool partner(s) make any stops while carpooling? (i.e. stop for coffee, pick up dry cleaning, groceries, or other stops)   No; we do not make any stops while carpooling Yes; we drop off /pick up a child at daycare or school Yes; we stop/run errands on our trip to work Yes, we stop/ run errands on our trip home Carpooling Experience Q20 How much money would you estimate you save a month by carpooling? Q21 What incentives do you receive from participating in a carpool?   Preferential parking Financial incentives Flexible work hours Increased time off from work Free meals No, incentives offered Other, please describe Q23 What do you like most about carpooling? Q24 What do you like least about carpooling? Q25 How would you rate your carpooling experience?   Excellent Good Fair Poor Q26 Do you use the Caring Commuter Card you received from Cross County Connection when you registered for the Carpooling Makes Sense Program? This program provides you with discounts for goods and services at participating merchants.   Yes   No, Please explain Q27 Do you still carpool or plan to continue carpooling in the future?   Yes   No, Why not? Q28 On average how many days per week did you carpool? Q29 If you are no longer carpooling, why did you stop? Check all that apply.   I/my carpool partner changed jobs I/my carpool partner was laid off I/my carpool partner moved I/my carpool partner's hours chaned Employer required me/ my carpool partner to work overtime too frequently We were unable to get to work on time I/my carpool partner's car broke down We had personality conflicts   Other, please explain Please return this survey to: Cross County Connection TMA 4A Eves Drive, Suite 114 Marlton, NJ 08053 Phone: (856)596-8228 Fax: (856)983-0388 www.driveless.com ccctma@driveless.com The survey may also be completed online at www.driveless.com. Once we receive your completed survey and registration form we will contact you regarding the Pooler Payback program. Thank you for your assistance.