Honda Survey
 
 
Please complete all or as many of the questions as fully as you can. Thank you for you co-operation. All your answers are confidential.

* 1. Full Name:
Your name as it appears on your payslip
 
* 2. Home Postcode:
 
* 3. Gender:
Male  Female 
 
* 4. Do you have a disability that affects your travel arrangements?
Yes  No 
 
* 5. Is your work:
Full Time 
Part Time (Please state usual working days/hours) 
 
* 6. Is your employment:
Permanent 
Temporary 
 
* 7. How far do you travel to work?
Up to 1 mile 
Over 1 mile and up to 5 miles 
Over 5 mile and up to 10 miles 
Over 10 miles 
Don’t know 
 
* 8. How long does it take you to travel to work?
0 - 5 minutes 
6 - 15 minutes 
16 - 30 minutes 
31 - 60 minutes 
Longer than 60 minutes 
 
* 9. How do you usually travel to work?
Bicycle 
Bus (Please state stop/station used at the work end of your journey) 
Train (Please state station used at the work end of your journey) 
Car driver (Alone) 
Car driver (With other staff as passengers) 
Car driver (With passengers who are not staff) 
Car passenger (With another member of staff as the driver) 
Car Passenger (With a person who is not a member of staff as the driver) 
Motorcycle/Moped 
Walk 
Other (Please specify) 
 
  10. If you drive, where do you park?
If you choose car above, please complete questions 9, 10 and 11 below.
Honda car park 
Organised off site parking 
Nearby street 
Other (Please specify) 
 
  11. If you drive to work, what are your main reasons for doing this?
Journey is combined with another function, e.g. taking/collecting children to/from school 
Car necessary for job 
Convenience 
Ease of parking 
Health reasons 
Lack of alternatives 
Other (Please specify) 
 
  12. If you currently drive, which of the following would encourage you not to use your car to travel in to work?
Discounted or free bus/rail travel 
Shuttle bus between railway/bus stations in the local area (Please state which stations/stops you would use at the work end of your journey) 
More flexibility to work from home 
Ability to work flexi-time/compressed working week to fit around public transport time tables 
Upgraded lease car 
Cash incentives 
Other (Please specify) 
 
 -