Maryland's Washington Metro Region MOVE IT Program :Survey Questionnaire

Survey Questionnaire

Thank you for participating in this survey. We value your comments and opinions, and would like to utilize your response to improve the Move It program to help reduce traffic congestion in our region. Please answer all six (6) questions. If you have other suggestions or comments, please send us an email.

1.)	How did you first know about the Move It form?
	Internet Surfing Library Fire Rescue Police :{ State - or - Local } Government Agency Other

2.)	Have you carried or do you plan to carry a copy of the MOVE IT form in your vehicle?
	Yes No

3.)	Are the instructions on the Move It form easy to follow?
	Yes No Somewhat

4.)	Have you been involved in a property damage-only collision that you actually used the Move It form? Yes No If your answer is "yes" please answer Questions (a) through (d) below before going to Question 5. a.) Did you move your vehicle off the travel lanes? Yes No b.) Was the other party aware of the Move It form? Yes No c.) Did the other party cooperate with you to provide the information? Yes No Somewhat d.) How long did it take to fill out the form and clear the scene? 10 minutes or less 10 to 20 minutes 20 to 30 minutes 30 minutes or more e.) Did the exchanged information help you to process your insurance claim? Yes No Somewhat

5.)	Have you or will you let other people know about the MOVE IT form and the Web page?
	Yes No
	If you have informed other people of MOVE IT, please indicate how many people:

6.)	What is your overall rating of this Move It program?
	Very Good Good Fair Poor No Opinion