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* 1. Which of the following best describes your relationship with the City of La Center?

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* 2. How often do you utilize public facilities (sidewalks, curb ramps, parks, city hall, etc.)

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* 3. How do you travel within the City of La Center?

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* 4. Please tell us about yourself (Select all that apply)

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* 5. If you have a disability or support someone with a disability, please check all that apply.

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* 6. Have you experienced any barriers when using the City of La Center’s sidewalks? If so, please share the location and specific nature of the concern:

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* 7. What sidewalk/ramp locations are the most important for making improvements in accessibility? Please describe below:

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* 8. Have you experienced any barriers when using the City of La Center’s parks and public buildings? If so, please share the location and specific nature of the concern:

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* 9. What park/building locations are the most important for making improvements in accessibility? Please describe below:

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* 10. Are there any concerns with the City of La Center’s accessibility that were not asked about in this survey that you would like to have considered in the ADA transition plan?

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