Foothills Regional Commission Safe Streets for All Survey

Thanks for your support on this regional safety study, which will help us identify safety risks in the region.
1.Do you spend time in McDowell County? (Select all that apply.)(Required.)
2.Do you spend time in Rutherford County? (Select all that apply.)(Required.)
3.Do you spend time in Polk County? (Select all that apply.)(Required.)
4.How often do you currently travel within or from the three-county region to work/school/recreation using the following modes of transportation? Please place a check in the box that applies to you.(Required.)
3 or more days/week
1-2 days/week
1-3 times/month
Less than once/month
Never
Drive alone
Carpool
Walk
Bike
Other
5.What are your top 3 concerns for roadway safety? (Select up to 3.)(Required.)
6.What physical safety improvements would you support or prioritize? (Select up to 3.)(Required.)
7.If you would like to share your experience with roadway safety, or share a personal story of a traffic crash in the region that affected you or your family, please write them in the box below.
Demographic Questions (Optional)
8.What is your home zip code? (Fill in the blank.)
9.What is your age category?
10.What is your gender?
11.What is your ethnicity?
12.What is your race?
Privacy & Cookie Notice