Combined Worksite Trip Reduction Model

Worksite Information: (optional)

Worksite Name : Worksite ID :

Worksite Street Address : State : City : Zip :

Your Name : E-mail :

No. Employees on 5/40

Compressed Work Week Information	No. of Employees
No. Employees on 3/36 CWW
No. Employees on 4/40 CWW
No. Employees on 9/80 CWW

Mode Split Information	Share(0-100)	Days in week (0-7)	No. of employee trips per week	No. of vehicle trips per week
% Drive Alone
% Transit
% Carpool + Vanpool
% Walk
% Bicycle
% Motorcycle
% Telework
% Total		Total Trips
Vehicle Trip Rate (VTR)

Incentive Information:

	Facilities & Amenities	Passenger Loading Areas Other Facility Improvements Preferential Parking Areas Bike Racks and Bike Lockers Shower and Lockers
	Guaranteed Ride Home Program	TMA/TMO Provided Guaranteed Return Trip Company Vehicle Guaranteed Return Trip Emergencies Guaranteed Return Trip Other Guaranteed Return Trip Program Rental Car Guaranteed Return Trip Taxi Guaranteed Return Trip Unscheduled Overtime Guaranteed Return
	Flexible timing	Flextime for Ride sharers (Work Shifts) Flextime for Ride sharers (Grace Period)
	Marketing	Commuter Information Center Commuter Fairs Focus Groups Posted Materials New Hire Orientation Other Marketing Elements Personal Communication Company Recognition Special Interest Club (Biking, Walking) TMA/TMO Membership Written Materials Zip Code Meetings
	Rideshare Match Program	Regional Commuter Management Agency Employer-Based Rideshare Matching System
	Financial Incentives	Transportation Allowances On-Going Bike-to-Work Subsidies On-Going Carpooling Subsidies Other Direct Financial Subsidies On-Going Walk-to-Work Subsidies
	Parking Management Incentives	Increased Parking Costs for Drive Alones Other Parking Management Strategies Subsidized Parking for Ride sharers
	Tele-work Incentives	Work at Home Work at Satellite Center
	Compressed work week	3/36, 4/40, 9/80 & other Compressed Work Week Schedule
	Onsite Incentives	On-Site Childcare Service Other On-Site Services Cafeteria, ATM's, Postal, Fitness Center Transit Information or Pass Sales
	Non financial Incentives	Auto Services (Fuel, Oil, Tune-Up) Gift Certificates Free Meals Other Direct Non-Financial Incentives Catalogue Points Additional Time Off with Pay Drawings, Free Meals, Certificates, etc.
	Financial Incentives with commuter tax benefit	Introductory Transit Passes or Subsidies Subsidized Vanpool Seats On-Going Transit Subsidies On-Going Vanpooling Subsidies