West Covina Active Transportation Plan - Online Survey Page 1 Question Title * 1. What gender do you identify with? female male other Question Title * 2. What Language do you primarily speak at home? English Spanish Mandarin Tagalog Decline to state Other (please specify) Question Title * 3. What is your age group? Under 12 13 - 17 18 - 25 26 - 35 36 - 45 46 - 55 56 - 65 66 - 75 76+ Question Title * 4. Where do you live? (answer to this question is required) City Zip Code Question Title * 5. When you walk, what are the reasons? Check All That Apply I do not walk to get around Commute to school or work Be environmentally-friendly Recreation Exercise Visit friends and family Get to/from public transit I do not own a car To save money Shop, run errands, go eat Other (please specify) Question Title * 6. When you bike, what are the reasons? Check All That Apply I do not bike to get around Commute to school or work Be environmentally friendly Recreation Exercise (not on a stationary bike) Visit friends and family Get to/from public transit I do not own a car To save money Shop, run errands, go eat Other (please specify) Question Title * 7. Do you walk or bike commute to school and/or work at least once a week? Yes No Next