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Transportation 101 Dialogue

1.

Question Title

* 1. Please tell us your contact information.

Name

Street Address

email address

preferred phone number

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* 2. Do you rent or own your home?

Rent

Own

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* 3. What is your gender

Male

Female

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* 4. What is your age group?

18 to 44

45 to 64

65 or older

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* 5. Do you have any special transportation needs?

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* 6. Please check all that apply.

I live in Portsmouth

I work in Portsmouth

I visit downtown Portsmouth for recreation, dining and entertainment

I shop in downtown Portsmouth

I visit the other commercial areas of Portsmouth for recreation, dining and entertainment

I shop in the other commercial areas of Portsmouth

I own a business in downtown Portsmouth

I own a business in other commercial areas of Portsmouth

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* 7. Please describe your education.

High School education

College education

College graduate

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* 8. What times are you available to meet? Check all that apply.

	Daytime	Evening
Sunday	Sunday Daytime	Sunday Evening
Monday	Monday Daytime	Monday Evening
Tuesday	Tuesday Daytime	Tuesday Evening
Wednesday	Wednesday Daytime	Wednesday Evening
Thursday	Thursday Daytime	Thursday Evening
Friday	Friday Daytime	Friday Evening
Saturday	Saturday Daytime	Saturday Evening
Sunday	Sunday Daytime	Sunday Evening