Research 'Student Mobility in Brainport Region'

You're previously saved incomplete form cannot be found in the database. Please complete the form again.

Nederlands

Do you live within 15 km of your educational institution?
This applies to Fontys University, Summa College and TU/e.

yes, please continue to the next question

no, unfortunately you cannot participate in this study

Please make a selection

Do you travel by car to your educational institution and/or internship?

yes, please continue to the next page

no, unfortunately you cannot participate in this study

Please make a selection

We appreciate your interest to participate in our research into student mobility in the brainport region!

You have just answered the 2 questions with 'Yes', which means you meet the criteria for the research group. Below are a few questions to complete your registration. As soon as we have received all registrations and you have been selected for the study, we will contact you about the next steps.

First name and surname

This field is required.

E-mailadres

This field is required.

Please enter a valid email address.

PCN / student number

This field is required.

Please enter a valid integer number.

What is your age?

This field is required.

At which educational institution are you studying?

Fontys Hogeschool

Summa College

TU/e - Eindhoven University of Technology

Please make a selection

At which teaching location are you studying?

This field is required.

Which program are you following?

This field is required.

What is your current address (street, postcode, city)?

This field is required.

How far away do you live from your teaching location in kilometers?

Tip: if in doubt, use maps.google.nl.

This field is required.

Please enter a valid integer number.

How often do you travel by car to your teaching location (estimate)? For example, if you go to your educational institution five times a week, how many times out of five do you use a car?

1 out of 5 times

2 out of 5 times

3 out of 5 times

4 out of 5 times

5 out of 5 times

What other means of transportation do/can you use to travel to your educational institution?

(normal) bicycle

electric bike

OV-fiets / deelfiets

OV-bicycle / share concept, like f.e. TIER

bus

train

other, for example...