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1. YES, I will commit to going Car-Free Oct. 1 – 31, 2014 and sharing my experiences on social media.

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2. In the past 12 months, I have ridden the bus:

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3. Which Zone do you live in?

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4. My round-trip commute to work is (estimate)

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5. Rather than drive, I plan to:

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6. I would be willing to participate in a focus group at the conclusion of the Car-Free Challenge to share my experiences.

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