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Participant Satisfaction Survey - 1

Your responses to this survey are strictly confidential.
You have 2 ways to submit this form:

1)
Anaheim Transportation Network, 311 East Center Street, Anaheim, CA 92805
Fax: (714) 563-5289
-or- 2) Save time and postage. Fill out this form online and submit it now. Use the submit button at the bottom when you have completely filled in all required fields.
First Name:
Last Name:
Employer Name:
Employer Phone:
Home Phone:
  
1) How long have you participated in Anaheim's Clean Air Team rewards/incentives program?
(Please write in the number and choose Months or Weeks )
2) Do you plan to participate in the on-going (months 4-6) Clean Air Team program?
Yes, No
Comments:
3) Do you intend to continue ridesharing to work after the "CAT" incentive program ends?
Yes, No
For what reasons:
4) Did you experience any problems that hindered your efforts to rideshare to work?
Yes, No
Comments:
5) Were you pleased with the incentives you received?
Yes, No
Suggestions / Comments:


Thank you for taking the time to complete this survey. You may provide additional comments below.

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