Business Park Transportation Survey

Cross County Connection is a non-profit organization striving to improve the quality of life in southern New Jersey through transportation solutions. Cross County Connection has partnered with the NJ Department of Transportation and NJ TRANSIT to improve your employees' commute to work through the use of commute alternatives, such as carpooling, vanpooling and public transit.

Cross County Connection is conducting a short survey to gauge the need for transportation services at your southern NJ worksite and is requesting that you complete this short questionnaire. Your responses will be kept confidential and will not be shared with other organizations. To learn more about Cross County Connection, visit http://www.driveless.com.

Once you have completed the questionnaire, please hit the 'SUBMIT' button at the end of the survey. You do not need to reply to this email. If you have any questions or would like more information, please contact us by telephone or email. Thank you for your assistance.

	Company Name:
	Physical Address:
	City:
	State:
	Zip Code:
	Mailing Address (if different from phyical address):
	Contact Person:
	Title:
	Email:
	Phone:
	Fax:

Number of Employees at worksite:

Less than 100

100 - 300

300 - 500

500 - 700

700 - 1000

1000 +

Type of Industry:

Manufacturing (machining, textiles, goods production)

Distribution (warehousing, transportation, delivery)

Professional (Lawyer, doctor, finance, consultant, etc.)

Technical (Computers, Digital Media, Software)

Sports/Training Facility (Fitness Center, Gymnastics, Dance, Soccer)

Retail (storefront, online sales)

Service Industry (Restaurant, Dry Cleaners, Gas Station, etc.)

Other (please elaborate)

	Hours of Operation at Worksite (please specify AM or PM):
	1st Shift Begins:
	1st Shift Ends:
	2nd Shift Begins:
	2nd Shift Ends:
	3rd Shift Begins:
	3rd Shift Ends:
	Other Shifts:

Is there a parking shortage at your worksite?

YES

If yes, please elaborate:

Do your employees have difficulty getting to work due to transportation issues?

YES

If yes, please elaborate:

Would you like someone to contact you regarding assisting your employees with thier commute?

YES

If yes, please elaborate regarding your employees' commute issues:

Thank you for your assistance.