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Questionnaire on Transport Mode Choice

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Questionnaire on Transport Mode Choice
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Top of Form
Mode Choice Survey
You can enter some introduction text here!
Personal Information
1*
Your age: * 15-20 * 21-30 * 31-50 * 51 or above
2
Your gender: * Male * Female remove answer
3*
Which city do you currently reside in?

4*
If you are a resident of Delhi, which part of Delhi do you reside in? * North Delhi * East Delhi * South Delhi * West Delhi * Central Delhi
5
Occupation: * Student * Home maker * Government Employee * Private Sector Employee * Business Owner remove answer
6
Marital Status: * Married * Single remove answer
7*
How many earning members are there in your household? * 1 * 2 * 3 * 4 or more
8*
What is your educational qualification? * Elementary * Intermediate * Diploma-remove from ques * Graduate * Post Graduate * Doctoral Degree * Post Doctoral Degree-remove
9*
How many motorised vehicles are there in your household? * None * 1 * 2 * 3 * 4 or more
Commute Information
10*
How much on a daily average do you commute daily? * Less than 1 km * 1-2 km * 2-6 km * 6-10 km * 10-14 km * More than 14 km
11*
How much time does it take for your journey from home to work or vice-versa? * Less than 15 min * 15-30 min * 31 min to 1 hour * 1-2 hours * 2-3 hours * More than 3 hours
12*
How much expenses do you bear for your daily commute? * Less than Rs. 10 * Rs. 10-20 * Rs. 21-40 * Rs. 41-60 * Rs. 61-100 * More than Rs.100
13*
Which mode of commute do you prefer for your commute? * Car * Two Wheeler * Bus * Metro * Auto/ Cycle Rickshaw * Other
Bottom of Form
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Top of Form

Private Vehicle User
14*
How much time does it take you to access your vehicle from your home and vice versa?

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