Please enable JavaScript in your browser to complete this form. - Step 1 of 7In which data collection project do you use the application? *None (Autonomous user)Intercompany travel planCarbon Footprint of TeleworkingNextWhat is your email address? *What is your institutional email address? *Please select the company you work for *Arhoma – La shopAssociation des employeurs maritimes (AEM)DécathlonLes Produits Plastique Age IncSociété des alcools du Québec (SAQ)Société québécoise du cannabis (SQDC)United Auto Parts Inc. (UAP)Entreprise localisée au 5600 HochelagaPlease select the company you work for *Loto QuébecINRSNext During a typical week in the summer period (roughly from mid-April to mid-October), what mode(s) of transport do you use to travel between your home and your current place of work? *Auto-solo – Personal vehicle, car-sharing or other motorized modes (motorcycle, scooter): only one adult on board, with or without child(ren)Carpooling – Personal vehicle, carsharing or other motorized modes (motorcycle, scooter): several adults on board, with or without child(ren)Public transport (bus, train, metro, collective taxi)Bike (or scooter, inline skates, etc.)Walking (running, etc.)Teleworking (without travel)Check all the modes used, even if they are only used for part of the trip.If you wish to participate in the draw organized by le Centre de gestion des deplacements de l’Est de Montréal (CGDEML), please check “Yes” to share your email with the CGDEML team. The email will only be used for the purposes of the draw. *YesNoBe assured that your responses will be treated confidentially.Please enter you gender *MaleFemaleOtherNextWhat is the range of your age? *18 - 2425 - 3435 - 4445 - 5455 - 6465 and overNextWhat is your current address? (Postal code) *Have you moved since the start of the covid-19 pandemic (March 2020)? *YesNoI prefer not to answerIs the reason for your move related to the Covid-19? *YesNoWhat was your address before (postal code)?NextWhat is your activity sector? *Bank, finance, insuranceAdministrationProfessional, scientific and technical servicesTrade - SaleEngineeringMedical - HealthEducation - ResearchOtherWhat is your field of employment or profession? *Administrative support (office work)Technician, production or maintenanceProfessional - Person holding at least a university baccalaureate)Middle managerSenior executive or managerPostdoctoral fellowProfessor or research personUndergraduate university (or CEGEP) student2nd cycle university student3rd cycle university studentOtherNextIn your situation is teleworking possible? *YesNoDo you work from home? *YesNoHow often? *1 day a week2 days a week3 days a week4 days a week5 days a weekMore than 5 days a weekSend
