ORIGIN DESTINATION SURVEY FORM
Date: Interviewer:
Road Name: Supervisor:
Survey Location: Weather:
ALL VEHICLES FREIGHT VEHICLES (TRUCKS) ALL VEHICLES
Number of Are there other routes Why do you prefer this route?
Time Vehicle Type (I) Origin Intermediate Destination Final Destination Purpose of Trip (II) Level of Loading Commodity Type (III) Trip frequncy
Passengers available to you? (IV)
a. Empty a._______Times Daily
b. Partly b._______Times Weekly Yes / No
c. Fully c._______Times Monthly
a. Empty a._______Times Daily
b. Partly b._______Times Weekly Yes / No
c. Fully c._______Times Monthly
a. Empty a._______Times Daily
b. Partly b._______Times Weekly Yes / No
c. Fully c._______Times Monthly
a. Empty a._______Times Daily
b. Partly b._______Times Weekly Yes / No
c. Fully c._______Times Monthly
a. Empty a._______Times Daily
b. Partly b._______Times Weekly Yes / No
c. Fully c._______Times Monthly
a. Empty a._______Times Daily
b. Partly b._______Times Weekly Yes / No
c. Fully c._______Times Monthly
a. Empty a._______Times Daily
b. Partly b._______Times Weekly Yes / No
c. Fully c._______Times Monthly
a. Empty a._______Times Daily
b. Partly b._______Times Weekly Yes / No
c. Fully c._______Times Monthly
a. Empty a._______Times Daily
b. Partly b._______Times Weekly Yes / No
c. Fully c._______Times Monthly
a. Empty a._______Times Daily
b. Partly b._______Times Weekly Yes / No
c. Fully c._______Times Monthly
Vehicle Type (I) Purpose of Trip (II) Commodity Type (III) Route Preference Reasons (IV)
1. Bicycles (NMT) 1. Work 1. Agricultural Products 1. It is shorter
2. Motorcycles 2. School 2. Construction materials 2. It is less congested
3. Saloon cars, taxis and compact SUVs 3. Private Business 3. Household commodities 3. Better road condition
4. Pick-ups and 4-wheel drive vehicles 4. Social (Non-Work) 4. Petroleum Products 4. It is the only route
5. Minibuses (14 - 18 seats) 5. Others not stated above 5. Others not stated above 5. I don't know
6. Medium buses (18 - 30 seats) 6. Others not stated above
7. Large buses (> 30 seats)
8. Light trucks
9. Medium trucks
10. Heavy trucks
11. Semi-trailers and trucks trailers