| Your Preferences: |
| 1. Which days do you commute to work? |
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| 2. What time do you normally start work? |
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| 3. What time do you normally leave work? |
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| 4. Are your work hours flexible by: |
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| 5. What is your rideshare preference? |
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| 6. Would you consider becoming a vanpool driver? |
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| 7. I would prefer non-smoking partner(s): |
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| 8.Other considerations: |
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Other: |
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| 9. Would you like a free classified ad in area publications to increase your chance of finding a match? |
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| Additional Information: |
| How do you currently commute? |
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| How long is your one-way commute? |
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| How did you hear about us? |
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