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* 1. Do you have a long-term disability that significantly impacts day-to-day life activities?

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* 2. If "yes," what is the disability?

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* 3. How often do you rely on public transportation?

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* 4. How often do you use public sidewalks?

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* 5. If you use public sidewalks in East Baton Rouge Parish, please specify their locations (intersections, neighborhoods and/or sections of the city).

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* 6. What kinds of accessibility barriers have you encountered along sidewalks in East Baton Rouge Parish? (Check all that apply.)

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* 7. Are you aware of any ADA grievance procedures with the City of Baton Rouge/East Baton Rouge Parish?

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