Once a Week Pledge

Once A Week is a campaign to help the people of Somerset get fitter, healthier, richer and greener, simply by changing the way they travel.

Getting in the car can be a bit of a habit and may not always be the best way for you to get around. By changing the way you travel, you could benefit by reducing your fuel costs, cutting out the stress of driving, getting fitter as you travel and reducing your pollution and carbon emissions.

So have a go at breaking your car habit by pledging to try something different Once A Week. We will send you a free gift to help you get going on your path to health, wealth and happiness!

To be eligible you need to live in Somerset or commute into the county.

Your Details

First Name: *

Surname: *

Address (Line 1): *

Address (Line 2):

Town/City: *

Postcode: *

Email address: *

Telephone:

Company name/Employer:

Workplace location:

How you normally travel to work

Specify the number of days per week that you use each form of transport to travel to work.

How many days a week do you...

Not work:

Work at home:

How many days per week do you travel to work by...

Walking:

Cycle:

Car (alone):

Van:

Bus:

Train:

Park & Ride:

Motorcycle - 125cc or less:

Motorcycle - Over 125cc:

If you travel to work by other means, please give details:

How many miles do you live from your main place of work?:

Why do you want to change the way you travel?:

I pledge to reduce my car use and improve my journey to work once a week by...: *

If "other", please give details:

Where did you first find out about the Once-A-Week campaign?:

If "other", please give details:

Are you...:

Age range: *