Safe Active Street Concept Design - Santa Rosalia Vista, Seurat Loop & Cezane Bend, Sinagra

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* 1. Please provide your details

Name

Address

Suburb

Email Address

Phone Number

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* 2. Do you ride and walk in your community regularly?

Yes

No

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* 3. If you answered YES, what modes of active transport do you use (walk, ride, scooter, ebike, etc.) and for what purpose (trips to nearby shops, commuting to work, travel to school, etc.)

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* 4. If you answered NO, what is stopping you from riding and walking for transport?

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* 5. Are you interested in changing how you travel around the community for local trips or commuting?

Yes

No

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* 6. How will the Safe Active Street benefit your lifestyle?

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* 7. How will the Safe Active Street benefit your neighbourhood?

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* 8. Do you support the proposed concept design?

Yes

No

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* 9. Please provide any specific suggestions you have, changes you would like to see or comments for the City to consider in finalising a concept design for a Safe Active Street on Santa Rosalia Vista, Seurat Loop & Cezane Bend.