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* 1. Do you live in a TOWN/City? (Yes-No) If yes, which town do you live in?

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* 2. How many miles do you usually travel to medical appointments?  (one way)(How often)(Where)

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* 3. How many miles do you usually travel to get groceries, go shopping, or work? (one way) (What towns do you travel to most often?)

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* 4. What are your usual methods of transportation and how often do you get out?

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* 5. Please indicate how important each of the transportation system components is to you?
Importance to me:Not Important-Somewhat Important-Important-Very Important

Improve Technology of Signals
Intersection Improvements
Pedestrian safety or access
Maintenance Improvements
Bicycle safety or access
More Bus Service/Public transit
Availability of passenger rail service
Connection to Highways
Maintenance of Bridges
Protecting the environment
Condition of traffic signage
Business access to rail freight
Provide a smooth driving surface
Add Shoulders on 2-lane Highways
Improve existing roadways (reconstruct steep hills or sharp curves, etc)
Improve signs along existing roadway
 

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* 6. Which do you think should be a priority when government selects transportation projects for the County?
Not Important-Somewhat Important-Important-Very Important

Support Economic Development
Improves Safety
Reduces Congestion
Bicycle Lanes or Facilities
Improve Pedestrian Walkways
Improves Travel Choices
Reduces Energy Consumption/Pollution
Improves Freight Movement
Other (specify) 

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* 7. Are there locations in your County that have traffic or transportation problems, and where?

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* 8. Optional: So that we can ensure this survey has reached a variety of individuals in the community, please provide the information below

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* 9. Optional: Gender Optional: Are you in a "Low Income" group?

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* 10. Please provide additional comments regarding transportation improvement needs or problems?

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