1. General Information

This survey is being used to help the Central NH Regional Planning Commission and Lakes Region Planning Commission assess progress toward transportation coordination and facilitate provider coordination. It is part of the update to the Belknap County and Central NH Region Coordinated Transit and Human Services Transportation Plan. Your answers will assist us in helping improve transportation options and coordination in the region. Your answers will be kept strictly confidential.

If you are taking this survey in paper form, please contact the Central NH Regional Planning Commission and we will collect it from you. You can reach us at (603) 226-6020 or romahony@cnhrpc.org.

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* 1. I am a (please check all that apply):

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* 2. What is your gender?

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* 3. What is your zip code (of your residence or agency)?

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* 4. What are the most common transportation-related issues you or your clients face? (Check all that apply.)

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* 5. How do you/your clients primarily get to places and activities that you/they need to get to? (Check all that apply.)

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* 6. Do you need physical assistance? (Check all that apply.)

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* 7. Where specifically are the most critical places you need to go using public or provider transportation? (Place N/A in the response boxes if this question is not applicable.)

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* 8. What would you be willing to do to help improve transportation in the region? (Check all that apply.)

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* 9. How do you think transit/transportation providers in the region could increase coordination? What are the tools/technologies that could help them achieve better coordination?

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* 10. Who should be involved in improving transportation in the region? What should their responsibilities be?

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* 11. How else can we address the concerns you have about transportation access/provision?

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* 12. Please let us know if you would like to learn more about the project or participate in public meetings and project committees. Please prove your contact information below. This will in no way affect the confidentiality of your responses.

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