CHOP Commuter Safety Advocacy Group

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* 1. Enter Full Name

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* 2. Email:

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* 3. Do you live in Philadelphia County?

Yes

No

Other

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* 4. Do you work at CHOP, Hospital of Univ. Penn (HUP), and/or UPenn?

Yes

No

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* 5. How do you commute to work? (Select all that apply)

Walking

Bicycle

Public Transit (Bus/Train)

Car/Uber /Lyft

Other (please specify)

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* 6. How safe would you feel commuting to and from work on a bicycle?

Definitely would

Probably would

Neutral

Probably would not

Definitely would not

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* 7. What would you change about your commute to work?

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* 8. Are there any streets in particular where you don't feel safe currently?

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* 9. Where would you like to see protected bike lanes: (select all that apply)

South St. Bridge

Spruce St. (between 38th St. and 34th St.)

34th St. (Market St. to Civic Center Blvd.)

33rd St. (Civic Center Blvd. to Market St.)

Convention Ave.

Civic Center Blvd. to S. University Ave. (38th st)

University Ave to/from Greys Ferry Ave.

Other (please specify)