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ADA Accessibility
Questionnaire

4.Accessibility Questionnaire

Your feedback is important to us. Please let us know how to better serve you.

1.In what zip code do you live?(Required.)
2.To what zip code do you commute?(Required.)
3.How do you normally get around?(Required.)
4.Rate the importance of the following safety issues.

Multiple issues can have equal importance.(Required.)
Not Important
Somewhat Unimportant
Neutral
Somewhat Important
Very Important
Interaction between modes (cyclist, pedestrians, vehicles, transit, mobility devices)
Access to driveways and connecting streets
Vehicle travel speed
Emergency evacuation routes
Access for emergency services (fire department, EMS, police)
5.Rate the importance of the following mobility issues.

Multiple issues can have equal importance.(Required.)
Not Important
Somewhat Unimportant
Neutral
Somewhat Important
Very Important
Addressing gaps in roadway connectivity
Managing bottlenecks and congestion
Using modern technology to improve efficiency of transportation
Adding alternatives to highways for local trips
6.Rate your satisfaction with the following multi-modal travel opportunities.

Multiple issues can have equal importance.(Required.)
Very Unsatisfied
Somewhat Unsatisfied
Neutral
Somewhat Satisfied
Very Satisfied
Mobility Device Accommodations (bike lanes, trails, sidewalks, shoulders)
Walking accommodations (sidewalks, crosswalks, curb ramp)
Public transit routes and facitilies
Shared vehicles (ride share, carpool)
Freight supportive facilities
7.Rate the importance of the following environmental issues.

Multiple issues can have equal importance.(Required.)
Not Important
Somewhat Unimportant
Neutral
Somewhat Important
Very Important
Context and Character (appropriate design)
Consider land use and physical features
Vegetation and Landscaping
8.Name a physical location that may not be ADA accessible.

Name the street, and physical landmarks.(Required.)
9.List some ADA concerns you may have:(Required.)
10.If you had to prioritize ADA concerns, what would be most important to you?(Required.)
11.Do you have additional comments? If so, please select the categories that best fit your comment.(Required.)
12.Survey completed by:(Required.)
13.Company:(Required.)
14.Please provide your email if you would like to include updates regarding TxDOT's ADA Accessibility Program.
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