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* 1. Where do you live? Please enter your nearest intersection and zip code.

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* 2. How far is your job or school from where you live?

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* 3. What is your age group?

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* 4. What is your primary mode of commuting (3 days per week)?

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* 5. How often do you commute by bicycle?

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* 6. How often do you commute by walking?

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* 7. If you ride a bicycle, what are your reasons? (check all that apply)

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* 8. If you walk, what are your reasons? (check all that apply)

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* 9. If you walk or ride a bicycle, what is the length of your average trip?

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* 10. What keeps you from biking more often? (check all that apply)

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* 11. What keeps you from walking more often? (check all that apply)

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* 12. Please rank to what degree the following conditions effect your decision to ride a bicycle

  Very important Somewhat important Neutral Somewhat unimportant Unimportant
Presence of off-street bike paths
Presence of on-street bike lanes
Presence of bike routes
Condition of bikeway/roadway (i.e. pavement quality)
Traffic volumes/speeds
Behavior of motorists
Behavior of other cyclists
Amount of street lighting
Access to bike parking and storage
Ability to combine bicycle trips with transit trips
Travel time
Available information of bike routes
Weather

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* 13. Please rank to what degree the following conditions effect your decision to walk:

  Very important Somewhat important Neutral Somewhat unimportant Unimportant
Presence of walking paths
Presence of sidewalks
Amount of street lighting
Amount of shade
Traffic volumes/speeds
Behavior of motorists
Perceived safety
Ability to access transit stops
Travel time
Available information of walking routes
Weather

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* 14. Please rank your interest in the following non-motorized programs:

  Not interested Somewhat interested Very interested
Riding skills and safety courses for adults
Riding skills and safety courses for children
Safe Routes to School programs for children
Public awareness campaigns
Special events
Maps and guides
Information websites
Commuter incentive programs
Information and maps delivered to my home
Booths at public events

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* 15. Where would you like to see new bicycle facilities?

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* 16. If you would like to be contacted about additional opportunities to stay involved in the project, please enter your contact information:

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