Form FHWA-NHTS-1 Recruitment Survey

National Household
Travel Survey
Understanding How People Get from
Place to Place

The U.S. Department of Transportation collects information about your travel to understand
how well the roads, highways, and bus and rail systems are working and to plan for the
future. We are asking you to please help us by taking part in this survey. Your answers
help us build a snapshot of how, when, and why people travel in their daily lives.
Participation is voluntary and your information will be kept confidential. The information will be used to analyze
travel behaviors of US. Public. Estimated reporting burden is 8 minutes including the time to review instructions,
search existing data sources, gather and maintain the data needed, and complete and review the collection of
information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of
information unless it displays a current valid OMB control number. The OMB control number for this collection is
2125-0545. Comments or suggestions regarding any aspect of burden, collection of information may be sent
to: Michael Howell, Information Collection Clearance Officer, Federal Highway Administration, 202 366-5707,
[email protected], 1200 New Jersey Avenue, SE, Washington, DC 20590.
FHWA NHTS-1

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This form should be completed by an adult household member.

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Please use a black or blue pen to complete this form.

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Mark       to indicate your answer. If you want to change your answer, darken the box       with the incorrect answer,

and mark the correct answer with an      .
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Your Travel Experiences
1. How often do you use each of the following to get from place to place?
Daily

A few times
a week

A few times
a month

A few times
a year

Never

Neither agree
or disagree

Disagree

Strongly
disagree

A few times
a month

A few times
a year

Never

Walk
Bike
Personal Vehicle (Car/Truck/SUV)
Taxi service or rideshare such as
Uber/Lyft
Bus
Train/Subway
Paratransit

2. How much do you agree or disagree with each of the following?
Strongly
agree

Agree

The price of gas affects the number of
places I go.
Getting from place to place costs too
much.
I walk to places to save money.
I bike to places to save money.
I use public transportation to save
money.

Technology You Use
3. How often do you use the following devices to access the Internet?
Daily

A few times
a week

Desktop or laptop computer
Smartphone
Tablet
Other device, please specify

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Your Household and You
7. What is your race? Mark all that apply.

4. How many vehicles are owned, leased, or available
for regular use by the people who currently live in
your household? Be sure to include motorcycles,
mopeds, and RVs.
Please fill in “0” if your household has no motor
vehicles

White
Black or African American
Asian
American Indian or Alaska Native
Native Hawaiian or other Pacific Islander

Total number of motor vehicles
available to your household

Other, please specify

5. Do you own or rent your home?
Own
8. What is the highest grade or year of school you
completed?

Rent
Other, please specify

Less than a high school graduate
High school graduate or GED
Some college or Associates degree
Bachelor’s degree

6. Are you of Hispanic or Latino origin?

Graduate degree or professional degree

Yes, Hispanic or Latino
No, not Hispanic or Latino

Contact Information
9. Please print your first and last name below.

First Name

Last Name

10. Please provide your email address.

13. Do you have a landline telephone?

11. What is the best telephone number for us to reach
you for the next part of the study?

(

)

Yes
No

‐

14. The second part of this survey can be done online
or on the phone. Which do you prefer?

12. Is the number above a cell phone?
Yes

Online

No

Phone

Please continue to the back page.

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15. In order to understand how people get from place to place, it’s important for us to know who currently lives in
your household.
Including yourself, please write in the first name/nickname, age, and gender of each person currently living in your
household, including children and newborn babies.
First name, nickname, or initials

Person 1

Does this
person drive?

You

Person 2

Person 3

Person 4

Person 5

Person 6

Person 7

Person 8

Person 9

Person 10

This person’s age

This person’s gender

Yes

Male

No

Female

Yes

Male

No

Female

Yes

Male

No

Female

Yes

Male

No

Female

Yes

Male

No

Female

Yes

Male

No

Female

Yes

Male

No

Female

Yes

Male

No

Female

Yes

Male

No

Female

Yes

Male

No

Female

16. If there are more than 10 people in your household, please write in the total number of people in
your household.

Thank you!
Please return this questionnaire in the enclosed, pre‐paid envelope.
For more information about the survey, please visit
www.NationalHouseholdTravelSurvey.com or call 1‐855‐350-NHTS (6487).
Households were selected from the postal service’s list of residential addresses. By selecting households randomly,
we will be able to create scientific estimates about the households in America. Your participation helps us have an
accurate picture of you and your community.
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