Employee Commuting Emissions Survey

Employee Commuting Emissions Survey
Thank you for participating in your company's efforts to understand its emissions footprint. Employee commuting and business travel are a significant contributor to emissions. This information will assist in creating an effective emissions reduction plan while helping us to maintain a competitive advantage in Federal contracting.

Please complete this form at the end of each calendar quarter. You will receive an email reminder.
Submission Date*

MonthDayYear
Date of Submission
Company Name*
Reporting Period*
About You
First Name*
Last Initial*
Email*
example@example.com
Your Normal Work Location*
Office City or Home
Number of Days You Commute Each Week*
Enter 0-7
Number of Days You Work From Home Each Week*
Enter 0-7. We account for your home work emissions
Number of Vacation or Leave Days this Quarter*
Enter number
Your Home City*
Your Home State*
Your Work City*
Your Work State*
About Your Commuting
One-Way Commuting Distance (nearest mile)*
Mode of Travel (multiple modes possible)*

AirRailBusCar PoolPersonal AutoTaxiShipMotorcycleBicycleWalkOther
If Personal Auto, Type of Auto

EconomyMid-size/mini-SUVLarge/SUVSmall TruckLarge TruckElectricHybridOther
If Car Pool, Number of Commuters in Pool
0-6
About Your Submission

Anything we should know that might skew data?
Comments
Thank you again for helping to save our planet.
Should be Empty:

About You