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* 1. Please check the answer that best identifies you.

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* 2. How often do you walk in your neighborhood?

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* 3. How often do you bike in your neighborhood?

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* 4. How often do you take public transit to/from your neighborhood?

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* 5. How often do you drive in your neighborhood?

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* 6. How often do you carpool in your neighborhood?

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* 7. What are your major concerns with the neighborhood?

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* 8. Please specify locations of concern (include street, cross street, or address)

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* 9. Overall, how would you rank the following issues in your neighborhood? Please rank 1-7 from highest to lowest priority.

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* 10. What is your age group? (Optional)

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* 11. Please leave your contact information if you would like to receive project updates and notifications regarding upcoming events,

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