* 1. Which of the following modes of transportation have you used in the past year to get from one place to another?

* 2. In the past year, in a usual week, have you walked for at least 10 minutes at a time for recreation, exercise, to get to and from places, or for any other reason?

* 3. How easy or difficult is it to walk in your community?  Would you say…

* 4. What makes it difficult to walk in your community?

* 5. Which of these changes would you recommend be made in your community to make it easier for you to walk more?

* 6. In the past year, in a usual week, have you bicycled for at least 10 minutes at a time for recreation, exercise, to get to and from places, or for any other reason?

* 7. How easy or difficult is it to bicycle in your community?  Would you say…

* 8. What makes it difficult to bicycle in your community?

* 9. Which of these changes would you recommend be made in your community to make it easier for you to bicycle more?

* 10. What type of facility do you typically utilize or prefer for biking?

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