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* 1. What STREET do you live on?

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* 2. What is your zip code?

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* 3. TOTAL # of people living in the household in each of these age categories:

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* 4. What is the primary source of transportation in the household? Choose all that may apply

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* 5. Does your household have any transportation challenges? If yes, please provide details.

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* 6. It is a struggle to:

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* 7. It is a struggle to:

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* 8. It is a struggle to:

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* 9. If anyone in your household has traveled on a C TRAN bus, what is the one change that can improve the system?

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* 10. What neighborhoods/zip codes in Chemung County could be more walkable/bike-friendly? Suggestions for improvement in areas could include: sidewalks, cross walk signals, driver behavior, safety, lighting, benches, flowers, shrubs, etc.

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