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Appendix C - Sample Origin and Destination Survey Questionnaires
Pages 75-87

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From page 75...
... 2004 Ridership Survey • Southern California Regional Rail Authority (Metrolink) 2004 Rider Survey • Chicago Transit Authority (CTA)
From page 77...
... School / Escuela Grocery or Department Store / Medical services / Servicios médicos Restaurant / Restaurante Supermercado o Tienda por Departamentos 2222 Street 1 / Calle 1: Street 2 / Calle 2: City / Ciudad: Street 1 / Calle 1: Street 2 / Calle 2: Example / Ejemplo: Walked / Caminé Shuttle/vanpool Bicycle / En bicicleta Rode with someone who parked / Fui con alguien que estacionó Drove a car & parked / En mi carro y estacioné Taxi Transferred from another bus ↓ / Transferencia de otro autobús: Dropped off by someone / Alguien me trajo Route# / Ruta#: Route Name / Nombre de la Ruta: _____________________________________________ How long did you wait for this bus? (# minutes)
From page 79...
... Even if you are not a regular Metrolink rider or if you are visiting Southern California, we would like to hear from you. Please fill out this survey and return to the attendant.
From page 80...
... (this information helps us estimate travel distance and improve access to Metrolink.) ___________ ___________ & _______ _______ _______ _ Primary Street Cross Street City: ________ _______ ______ Zip code: ____________ 18.
From page 81...
... _________________________________ 14 I served on Jury duty and received a free Metrolink ticket 13 The high cost of gas 12 I could not drive my car for medical reasons 11 My car was being used by another family member 10 My car was being repaired 9 I was traveling in a group 8 I took the train to a special event 7 The MTA strike forced me to find alternate transportation 15 I received an offer in the mail
From page 82...
... 4 100 - 249 3 50 - 99 1 Under 25 2 25 - 49 5 250 or over Complete surveys will be entered into a random drawing to win a FREE monthly pass. For your chance to win please provide your name, address and phone number below 32.
From page 83...
... (Please check only the one best answer.)  Home  School  Shopping  Work or Work-related location Child care provider Medical Facility Airport Social/Recreational Place Other (specify)
From page 84...
... _________________________ Did not ride CTA bus 16. Which CTA rail lines did you use last weekend?


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