Home-Work Questionnaire
Type Code Text
Group 1 Company
Question 1 Name of the Company
You can choose the type of this question as it suits you better, i.e. open
question, multiple choice etc. You could also eliminate the question if you
use a separate questionnaire for each company.
Answer 1a
Group A How Do You Get to Work?
Question A1 Which mode of transport do you usually use to go to work?
Answer A1a Foot
Answer A1b Bike
Answer A1c Motorbike
Answer A1d Bus/Coach
Answer A1e Train
Answer A1f Car (as a driver)
Answer A1g Car (as a passenger)
Answer A1h Car Pooling (I share the same car with colleagues)
Answer A1i Car + Train or Bus (combined trip)
Answer A1j Other
Question A2 In winter do you use the same mode of transport as during the summer
Answer A2a Yes
Answer A2b No, in winter I travel by (...please specify in the comment area)
Question A3 When travelling to or from work do you carry out any intermediate
stops/trips?
Codes: Yes: A3Y ---- No: A3N
Answer A3a I bring my children to school Yes/No
Answer A3b I accompany my partner/friend/member of my family Yes/No
Answer A3c Gym, sports Yes/No
Answer A3d I stop at the market/supermarket Yes/No
Answer A3e I go directly at work (at home) Yes/No
Question A4 Distance covered every day to get to work (one way)
Answer A4a Up to 3km
Answer A4b Up to 7km
Home-Work Survey Page 1/8
Answer A4c Up to 15km
Answer A4d Up to 50km
Answer A4e More than 50km
Question A5 Distance covered by car, everyday, to get to work (one way)
Answer A5a 0km
Answer A5b Up to 3km
Answer A5c Up to 7km
Answer A5d Up to 15km
Answer A5e Up to 50km
Answer A5f More than 50km
Question A6 How long does it take you to get to work (in minutes)?
Answer A6a up to15 min
Answer A6b up to 30 min
Answer A6c up to 60 min
Answer A6d up to 90 min
Answer A6e More than 90 min
Question A7 How long does it take you to go home from work?
Answer A7a up to15 min
Answer A7b up to 30 min
Answer A7c up to 60 min
Answer A7d up to 90 min
Answer A7e More than 90 min
Question A8 Do you meet traffic on your way?
Answer A8a Never
Answer A8b Rarely
Answer A8c Frequently
Answer A8d Always
Group B Information on the Means of Transport You Use
Question B1 How much do you spend per month on average for your home to work
trips (€/month)
Answer B1a Up to 15
Answer B1b Up to 30
Answer B1c Up to 50
Home-Work Survey Page 2/8
Answer B1d Up to 100
Answer B1e More than 100
Question B2 Are you aware of the public transport present to/from your work place?
Answer B2a Yes
Answer B2b No
Question B3 How do you evaluate the public transport to/from your work place?
Answer B3a Bad
Answer B3b Sufficient
Answer B3c Good
Answer B3d Excellent
Answer B3e I don’t know
Question B4 Is the public transport timetable suitable for your work schedule?
Answer B4a Yes
Answer B4b No
Answer B4c I don’t know
Question B5 In which of the following areas do you think public transport to/from
your work place should improve? (choose a maximum of 3)
Answer B5a No need for improvement
Answer B5b Timetable and frequency
Answer B5c Cleanliness
Answer B5d Comfort
Answer B5e Safety
Answer B5f Better treatment of passengers
Answer B5g Air-conditioning/heating
Answer B5h Access for handicapped people
Answer B5i Other (please specify)
Question B6 For each one of the following statements choose a Yes or No
according to your case
Code: Yes: B6Y / No: B6N
Answer B6a I own a car
Answer B6b I don't own a car but I have access to a car I can use
Answer B6c I own a bike
Answer B6d I have a membership at a CarSharing club (a model of car rental where
people rent cars for short periods of time)
Answer B6e I have a season ticket for public transport
Home-Work Survey Page 3/8
Answer B6f There is plenty of parking space close to my house (or I own a
garage/private parking space)
Question B7 Would you be willing to switch to public transport for your home-work
trips?
Answer B7a No
Answer B7b Yes, without conditions
Answer B7c Yes, if there was a financial subsidy for the purchase of public transport
season tickets
Answer B7d Yes, if the trip did not exceed by more than 15 minutes the actual one
Answer B7e Yes, if the public transport timetable was better synchronised with my job
schedule
Answer B7f Yes, if I had to pay for parking
Answer B7g Other (please specify)
Question B8 Would you be willing to share the home-work trip by car with your
colleagues as a driver/passenger (CAR POOLING)?
Answer B8a No
Answer B8b Yes, without conditions
Answer B8c Yes, if there was a system that would put me in contact with my colleagues
that make the same trip
Answer B8d Yes, if the trip did not exceed by more than 15 minutes the actual one
Answer B8e Yes, if I was guaranteed a parking space close to work
Answer B8f Yes, if there were economic advantages (share the cost of the trip,
economic incentives, etc.)
Answer B8g Yes, if I had to pay for parking
Answer B8h Other (please specify)
Question B9 Would you be willing to come to work by bike?
Answer B9a No
Answer B9b Yes, without conditions
Answer B9c Yes, if there were more and safer bike lanes
Answer B9d Yes, if the trip did not exceed by more than 15 minutes the actual one
Answer B9e Yes, if I was offered an incentive
Answer B9f Yes, if there were safe and sheltered bike parking spaces
Answer B9g Yes, if it was possible to change clothes at work
Answer B9h Yes, if the company provided the bikes
Answer B9i Other (please specify)
Group C Your choices
Question C1 Choose 3 factors that influence your choice of transport to/from your
Home-Work Survey Page 4/8
work place
Answer C1a Money saving
Answer C1b Lack of parking space
Answer C1c Safety
Answer C1d Less stressing alternative
Answer C1e Health
Answer C1f Duration of the trip
Answer C1g Comfort
Answer C1h Accompanying other people
Answer C1i Freedom of movement
Answer C1j No other alternative present
Answer C1k Lack of a public transport service
Answer C1l Inconvenient public transport connections
Answer C1m No frequent bus/train trips
Answer C1n Very distant bus/train stops
Answer C1o I don't know where to look for information
Question C2 With regards to the trips you have carried out by car could you tell us
to which degree you agree with the following statements? (0--> totally
disagree, 10--> totally agree)
Answer C2a It is the fastest mode of transport
Answer C2b I feel more comfortable and have more freedom with respect to other modes
of transport
Answer C2c I like driving/travelling by car
Answer C2d I make sure I use the car with respect to the environment
Answer C2e The important thing is arriving at the destination
Question C3 When you travel in town by car do you usually travel...
Answer C3a alone
Answer C3b with other people
Answer C3c Not applicable, I don't own a car
Question C4 If public transport was free how would you behave?
Answer C4a I wouldn’t use the car anymore
Answer C4b I would still use the car but I would use more frequently public transport
Answer C4c I wouldn't change my current behaviour
Question C5 Choose 3 of the following statements that reflect your way of thinking?
Answer C5a The important thing is arrive at the destination as quick as possible
Home-Work Survey Page 5/8
Answer C5b I like to travel with calm so that I can admire the landscape
Answer C5c I want to be comfortable when I travel
Answer C5d I like to feel safe when I travel
Answer C5e I like to travel relaxed
Answer C5f I like the feeling I get when I drive
Answer C5g I can't stand arriving late at an appointment
Answer C5h I make trips only when necessary
Answer C5i I always try to use the time spent on travelling for doing things (i.e. reading,
working, ecc.)
Answer C5j I like to move in search of new places
Answer C5k I like travelling for reaching destinations I know
Group D Your job
Question D1 What are your working hours?
Answer D1a I change between 2 shifts
Answer D1b I change between 3 shifts
Answer D1c Central working hours (8-17 or 9-18)
Answer D1d Part time, please specify in the comment area
Answer D1e I have flexible working hours (please specify in the comment area)
Answer D1f I have extremely variable working hours (consultant)
Answer D1g Other (specify in the comment area)
Question D2 Do you do overtime?
Answer D2a Yes, often
Answer D2b No
Question D10 Do go out of the office for work during the day?
Answer D10a Yes, often
Answer D10b No
Question D3 How often do you go on transfer for work?
Answer D3a Never
Answer D3b Less than once per month
Answer D3c Once or twice per month
Answer D3d More than once per week
Question D4 When you go on a job transfer what mode of transport do you usually
use?
Answer D4a Car
Home-Work Survey Page 6/8
Answer D4b Train
Answer D4c Bus /Coach
Answer D4d Air
Answer D4e Other (please specify)
Question D5 Age
Answer D5a under 21
Answer D5b 21-30
Answer D5c 31-50
Answer D5d over 50
Question D6 Your gender
Answer D6a Female
Answer D6b Male
Question D7 What is your position at work?
Answer D7a Worker/labourer
Answer D7b Office employee
Answer D7c Director/manager
Answer D7d Consultant
Answer D7e Owner
Answer D7f Other (please specify)
Question D8 Town where you live
Answer D8a
Question D9 Home address/ post code
Answer D9a
Group E Suggestions
Question E1 Please let us know what you think of this project, your suggestions
and comments in general
Answer E1a
Question E2 If you wish to receive further information on this project and its
initiatives please leave your details below (email and/or mobile phone)
Answer E2a
Home-Work Survey Page 7/8
Home-Work Survey Page 8/8