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Your Info

First name

Last name

Email
Address

City and zip code
Phone (optional)

Age (optional)

Pick a day


Option 1 - What color is your day off?
Let’s make this simple. Your car’s color corresponds to your assigned car-free day of the week (e.g., if you drive a red car, your day off is Wednesday). If this works with your schedule, check the box below that best matches your car color. For you overachievers, check any additional days you’re willing to go carless.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Option 2 - Flex-day
Should your assigned carless day not work with your schedule, or if you can’t commit to one particular day on a regular basis, you can opt for the flex-day schedule below. As long as you go carless at least one day a week, it’s all copacetic. Because the point isn’t to see how well you follow directions; it’s to get cars off the road.
I am doing the flex-day schedule
How many days a week are you going car-free?  

Your commute


How are you planning to get around on days you’re not driving?
Carpool or
vanpool		 Bike Bus Bus from park-n-ride Walk Telecommute Compressed
work week
day off		 Other
Car-free day(s)

If you selected "other," what method of transportation are you planning to use?  

On a scale of 1 to 5 (5 being supremely comfortable), how comfortable are you in using that mode of transportation?
1
2
3
4
5

Distance to work (one-way, in miles)  
How did you get around the past week?
Was not
scheduled
to work		 Drive
alone		 Carpooled or
vanpooled		 Biked Combined
bike
and bus		 Bus Bus from
park-n-ride		 Walked Telecommuted Compressed
work week
day off		 Other Not
applicable
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

If you selected "other," what method of transportation are you planning to use?  

Was last week a typical week in regards to how you got around?
Yes
No
In a typical week of good weather how do you commute to work?
Not
scheduled
to work		 Drive
alone		 Carpool or
vanpool		 Bike Combined
bike
and bus		 Bus Bus from
park-n-ride		 Walk Telecommute Compressed
work week
day off		 Other Not
applicable
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

If you selected "other," what method of transportation are you planning to use?  


Would you like someone to contact you with personalized suggestions on getting around Boulder without a car?
Yes
No
Would you be willing to participate in a study to track the success of this program? (You’ll be eligible for additional rewards/prizes for your help.)
Yes
No

ST  
Submit   NOTE: Your information will not be shared with any other parties