Screen Reader Mode Icon Check SCREEN READER MODE to make this survey compatible with screen readers. Mount Shasta City Bicycle and Pedestrian Survey Question Title * 1. Are you a resident of Mount Shasta? Yes No. live within 25 miles No. Live more than 25 miles from Mount Shasta OK Question Title * 2. Are you older then 18 years of Age? Yes No OK Question Title * 3. How many adults live in your household? 1 2 3 4 more than 4 OK Question Title * 4. How many adults in your household walk regularly 0 1 2 3 4 More than 4 OK Question Title * 5. How many adults in your household bicycle regularly? 0 1 2 3 4 more than 4 OK Question Title * 6. For each adult, how far is it from home to work (select all that apply)? 0-1/2 mile 1/2-1 mile 1-2 miles 2-5 miles more than 5 miles OK Question Title * 7. How many children in your household? 0 1 2 3 4 5 6 more than 6 OK Question Title * 8. Please list each child's age 0-4 5-9 10-14 15-18 child 1 child 1 0-4 child 1 5-9 child 1 10-14 child 1 15-18 child 1 child 2 child 2 0-4 child 2 5-9 child 2 10-14 child 2 15-18 child 2 child 3 child 3 0-4 child 3 5-9 child 3 10-14 child 3 15-18 child 3 child 4 child 4 0-4 child 4 5-9 child 4 10-14 child 4 15-18 child 4 child 5 child 5 0-4 child 5 5-9 child 5 10-14 child 5 15-18 child 5 child 6 child 6 0-4 child 6 5-9 child 6 10-14 child 6 15-18 child 6 child 7 child 7 0-4 child 7 5-9 child 7 10-14 child 7 15-18 child 7 OK Question Title * 9. How many children in your household walk regularly? 0 1 2 3 4 5 6 More than 6 OK Question Title * 10. How many children in your household bicycle regularly? 0 1 2 3 4 5 6 more than 6 OK Question Title * 11. How many children bicycle to school regularly 0 1 2 3 4 5 6 more than 6 OK Question Title * 12. If you have children in school, how many miles is it from home to school? (Please circle a distance for each child) 0-1/2 mile 1/2-1 mile 1 -2 miles 2-5 miles More than 5 miles Child 1 Child 1 0-1/2 mile Child 1 1/2-1 mile Child 1 1 -2 miles Child 1 2-5 miles Child 1 More than 5 miles Child 2 Child 2 0-1/2 mile Child 2 1/2-1 mile Child 2 1 -2 miles Child 2 2-5 miles Child 2 More than 5 miles Child 3 Child 3 0-1/2 mile Child 3 1/2-1 mile Child 3 1 -2 miles Child 3 2-5 miles Child 3 More than 5 miles Child 4 Child 4 0-1/2 mile Child 4 1/2-1 mile Child 4 1 -2 miles Child 4 2-5 miles Child 4 More than 5 miles Child 5 Child 5 0-1/2 mile Child 5 1/2-1 mile Child 5 1 -2 miles Child 5 2-5 miles Child 5 More than 5 miles Child 6 Child 6 0-1/2 mile Child 6 1/2-1 mile Child 6 1 -2 miles Child 6 2-5 miles Child 6 More than 5 miles Child 7 Child 7 0-1/2 mile Child 7 1/2-1 mile Child 7 1 -2 miles Child 7 2-5 miles Child 7 More than 5 miles OK Question Title * 13. In your opinion, how much do your children's schools encourage or discourage walking and biking to/from school? (Please select one). Strongly discouraged discouraged Neutral Encouraged Strongly Encouraged OK Question Title * 14. On most days how does your child arrive at school and return home from school? (Please mark the appropriate columns) Arrive at school Leave for home Walk Walk Arrive at school Walk Leave for home Bicycle Bicycle Arrive at school Bicycle Leave for home School Bus School Bus Arrive at school School Bus Leave for home Own Family Vehicle Own Family Vehicle Arrive at school Own Family Vehicle Leave for home Carpool (other vehicle) Carpool (other vehicle) Arrive at school Carpool (other vehicle) Leave for home OK Question Title * 15. To what extent do the following aspects affect your choice to allow your child to bicycle or walk more often? No effect A little Some Very Much Extremely affects Convenience/comfort of car Convenience/comfort of car No effect Convenience/comfort of car A little Convenience/comfort of car Some Convenience/comfort of car Very Much Convenience/comfort of car Extremely affects Lack of bikeways Lack of bikeways No effect Lack of bikeways A little Lack of bikeways Some Lack of bikeways Very Much Lack of bikeways Extremely affects Lack of sidewalks Lack of sidewalks No effect Lack of sidewalks A little Lack of sidewalks Some Lack of sidewalks Very Much Lack of sidewalks Extremely affects Afraid of cars/drivers Afraid of cars/drivers No effect Afraid of cars/drivers A little Afraid of cars/drivers Some Afraid of cars/drivers Very Much Afraid of cars/drivers Extremely affects Destination too far(takes too long) Destination too far(takes too long) No effect Destination too far(takes too long) A little Destination too far(takes too long) Some Destination too far(takes too long) Very Much Destination too far(takes too long) Extremely affects Difficult intersections Difficult intersections No effect Difficult intersections A little Difficult intersections Some Difficult intersections Very Much Difficult intersections Extremely affects Bad weather Bad weather No effect Bad weather A little Bad weather Some Bad weather Very Much Bad weather Extremely affects Lack of bicycle parking Lack of bicycle parking No effect Lack of bicycle parking A little Lack of bicycle parking Some Lack of bicycle parking Very Much Lack of bicycle parking Extremely affects Lack of shower Lack of shower No effect Lack of shower A little Lack of shower Some Lack of shower Very Much Lack of shower Extremely affects Personal security Personal security No effect Personal security A little Personal security Some Personal security Very Much Personal security Extremely affects OK Question Title * 16. If the obstacles identified were removed would you be more likely to allow your child to bike or walk? Yes No OK Question Title * 17. For the period from May through September how often do you walk for each of the following purposes? Never Rarely (1-2 times per year) Sometimes (1-2 times per month) Very Often (1-2 times per week) Usually (Almost Daily) Social/fitness/fun Social/fitness/fun Never Social/fitness/fun Rarely (1-2 times per year) Social/fitness/fun Sometimes (1-2 times per month) Social/fitness/fun Very Often (1-2 times per week) Social/fitness/fun Usually (Almost Daily) Commute to work Commute to work Never Commute to work Rarely (1-2 times per year) Commute to work Sometimes (1-2 times per month) Commute to work Very Often (1-2 times per week) Commute to work Usually (Almost Daily) School School Never School Rarely (1-2 times per year) School Sometimes (1-2 times per month) School Very Often (1-2 times per week) School Usually (Almost Daily) Church/civil Church/civil Never Church/civil Rarely (1-2 times per year) Church/civil Sometimes (1-2 times per month) Church/civil Very Often (1-2 times per week) Church/civil Usually (Almost Daily) Shopping Shopping Never Shopping Rarely (1-2 times per year) Shopping Sometimes (1-2 times per month) Shopping Very Often (1-2 times per week) Shopping Usually (Almost Daily) OK Question Title * 18. To what extent do the following aspects affect your choice to walk more often? No effect A little Some Very Much Extremely effects Convenience/comfort of car Convenience/comfort of car No effect Convenience/comfort of car A little Convenience/comfort of car Some Convenience/comfort of car Very Much Convenience/comfort of car Extremely effects Lack of bike ways Lack of bike ways No effect Lack of bike ways A little Lack of bike ways Some Lack of bike ways Very Much Lack of bike ways Extremely effects Lack of sidewalks Lack of sidewalks No effect Lack of sidewalks A little Lack of sidewalks Some Lack of sidewalks Very Much Lack of sidewalks Extremely effects Afraid of cars/drivers Afraid of cars/drivers No effect Afraid of cars/drivers A little Afraid of cars/drivers Some Afraid of cars/drivers Very Much Afraid of cars/drivers Extremely effects Destination too far (Takes too long) Destination too far (Takes too long) No effect Destination too far (Takes too long) A little Destination too far (Takes too long) Some Destination too far (Takes too long) Very Much Destination too far (Takes too long) Extremely effects Difficult intersections Difficult intersections No effect Difficult intersections A little Difficult intersections Some Difficult intersections Very Much Difficult intersections Extremely effects Bad Weather Bad Weather No effect Bad Weather A little Bad Weather Some Bad Weather Very Much Bad Weather Extremely effects Lack of bicycle parking Lack of bicycle parking No effect Lack of bicycle parking A little Lack of bicycle parking Some Lack of bicycle parking Very Much Lack of bicycle parking Extremely effects Lack of shower Lack of shower No effect Lack of shower A little Lack of shower Some Lack of shower Very Much Lack of shower Extremely effects Personal security Personal security No effect Personal security A little Personal security Some Personal security Very Much Personal security Extremely effects OK Question Title * 19. If the obstacles were removed would you be more likely to walk? Yes No OK Question Title * 20. How many adults in your household bicycle to work regularly? (once a week or more) 0 1 2 3 4 more than 4 OK Question Title * 21. For the period form May through September how often do your bicycle for each of the following purposes (chose 1 per row)? Never Rarely (1-2 times per year) Sometimes(1-2 times per month) Very Often (1-2 times per week) Usually (almost daily) Social/fitness/fun Social/fitness/fun Never Social/fitness/fun Rarely (1-2 times per year) Social/fitness/fun Sometimes(1-2 times per month) Social/fitness/fun Very Often (1-2 times per week) Social/fitness/fun Usually (almost daily) Commute to work Commute to work Never Commute to work Rarely (1-2 times per year) Commute to work Sometimes(1-2 times per month) Commute to work Very Often (1-2 times per week) Commute to work Usually (almost daily) School School Never School Rarely (1-2 times per year) School Sometimes(1-2 times per month) School Very Often (1-2 times per week) School Usually (almost daily) Church/civil Church/civil Never Church/civil Rarely (1-2 times per year) Church/civil Sometimes(1-2 times per month) Church/civil Very Often (1-2 times per week) Church/civil Usually (almost daily) Shopping Shopping Never Shopping Rarely (1-2 times per year) Shopping Sometimes(1-2 times per month) Shopping Very Often (1-2 times per week) Shopping Usually (almost daily) OK Question Title * 22. To what extent do the following aspects affect your choice to bicycle more often? No effect A little Some Very much Extremely affects Convenience/comfort of car Convenience/comfort of car No effect Convenience/comfort of car A little Convenience/comfort of car Some Convenience/comfort of car Very much Convenience/comfort of car Extremely affects Lack of Bike ways Lack of Bike ways No effect Lack of Bike ways A little Lack of Bike ways Some Lack of Bike ways Very much Lack of Bike ways Extremely affects Lack of sidewalks Lack of sidewalks No effect Lack of sidewalks A little Lack of sidewalks Some Lack of sidewalks Very much Lack of sidewalks Extremely affects Afraid of cars/drivers Afraid of cars/drivers No effect Afraid of cars/drivers A little Afraid of cars/drivers Some Afraid of cars/drivers Very much Afraid of cars/drivers Extremely affects Destination too far (Takes too long) Destination too far (Takes too long) No effect Destination too far (Takes too long) A little Destination too far (Takes too long) Some Destination too far (Takes too long) Very much Destination too far (Takes too long) Extremely affects Difficult intersections Difficult intersections No effect Difficult intersections A little Difficult intersections Some Difficult intersections Very much Difficult intersections Extremely affects Bad Weather Bad Weather No effect Bad Weather A little Bad Weather Some Bad Weather Very much Bad Weather Extremely affects Lack of bicycle parking Lack of bicycle parking No effect Lack of bicycle parking A little Lack of bicycle parking Some Lack of bicycle parking Very much Lack of bicycle parking Extremely affects Lack of shower Lack of shower No effect Lack of shower A little Lack of shower Some Lack of shower Very much Lack of shower Extremely affects Personal security Personal security No effect Personal security A little Personal security Some Personal security Very much Personal security Extremely affects OK Question Title * 23. If the obstacles were removed would you be more likely to bicycle? Yes No OK Question Title * 24. From your experience list the 3 worst intersections, stretches of road, or other obstacles that need improvement. Identify each as either walking or riding obstacles.(enter NONE if you have no comment) Item 1 item 2 item 3 OK Question Title * 25. Please tell us about any unrealized opportunities, dreams, or down-to-earth projects that would improve the walking and bicycling experience in or around Mount Shasta (Enter NONE if you have no comment) OK Question Title * 26. Make additional comments here (enter NONE if you have no additional comments) OK DONE
