This survey is being administered by Feet First Philly, Philadelphia's new pedestrian advocacy group. We are collecting data on walkability in the city in order to assess current issues that people have as pedestrians. The results will be shared with the City of Philadelphia so that these issues can be addressed. The data will also be used to inform our analysis of signal timing at certain intersections in the city. If you ever walk in Philadelphia or the surrounding Pennsylvania or New Jersey counties, your input is crucial to making sure Feet First Philly's initiatives have a positive impact on our city.

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* 1. Date

Date

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* 2. In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305)

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* 3. Which category below includes your age?

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* 4. Out of the options below, please rank your top five concerns as a pedestrian. Type a single number (from 1 through 5) in the text box adjacent to your choice, with 1 indicating highest concern. Leave the remaining text boxes blank.

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* 5. Even if you did not rank safety as one of your top five concerns, please rate the following pedestrian safety problems on a scale of 1 to 5, with 1 indicating "not concerned" and 5 indicating "very concerned."

  1 Not concerned 2 3 4 5 Very concerned
Turning vehicles don’t yield to pedestrians
Not enough time to cross
Vehicles (including cars, buses, taxis, bicyclists, etc.) run red lights
Vehicles block the crosswalk
Personal safety/security
Poorly lit streets

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* 6. At a signalized intersection, do you ever experience difficulty reaching the opposite side of the street before opposing traffic begins to flow?

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* 7. Do you cross in the middle of a block instead of at the intersection?

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* 8. On which, if any, of the following streets have you experienced any type of problem crossing as a pedestrian?

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* 9. In general, what are is/your primary purpose(s) for walking? (Please choose one or more.)

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* 10. How often do you using walking as your sole mode of transportation to get to a destination (i.e. work, shopping, etc.)?

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* 11. How often do you use walking in combination with other modes of transportation (i.e. subway, bus, bicycle) to reach your destination?

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* 12. How many times over the past week did you use each of the following modes of transportation to get to work or school? If you do not go to work or school, skip this question and move on to question 13.

  None Once 2-3 times 4-6 times 7 or more times
Car (drove alone)
Carpool
Public transit
Walking
Bicycle
Other

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* 13. How physically active are you?

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* 14. Name (optional)

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* 15. Email address (optional)

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* 16. Additional comments or feedback

Thank you for your participation!

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