Name^*

Email Address^*

What days each week do you commute outside of Newtown for work? (check all that apply)^*

What is your normal work schedule? (Check all that apply)^*

Which two cross streets are nearest to your home?^*

What is your work zip code?^*

Which two cross streets are nearest to your work location?^*

Would you be willing to ride the bus to work if a new route was offered from Newtown?^*

If yes, would you be willing to drive to a park and ride location within Newtown to catch the bus? (No indicates a preference for multiple bus stops within Newtown)

Do you have any additional comments related to potential bus service in Newtown?^*