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* 1. Where in the Ozark Foothills Region do you live?

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* 2. Which role best describes you? (Check all that apply)

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* 3. What is your age?

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* 4. What are your top priorities for traveling in our five-county region? (Rank order)

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* 5. How concerned are you about distracted driving in your community?

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* 6. Do you have a disability or mobility issue that makes it challenging to get around?

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* 7. How likely are you to travel other than car on any given day? (Could be walking, scooter, bicycle, public transit or other-even for just a quick trip)

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* 8. What mode of transportation do you use most often?

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* 9. Do you observe most people in your community following the rules of the road?

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* 10. How safe do you generally feel when you travel around our five-county region?

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* 11. Have you, or someone in your household, experienced a traffic crash or "near miss" in the past five years?

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* 12. Where do you feel investment in transportation safety should be prioritized? (Indicate your top 3, with 1 being most important)

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* 13. If you experienced a traffic crash or "near miss", did this involve another vehicle, pedestrian, or cyclist? Please describe incident.

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* 14. Are there any specific areas in our five-county region where you have concerns regarding transportation safety? (i.e. Street name/Intersection and City/Community)

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* 15. What do you think would improve safety the most on our streets?

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* 16. List any additional comments or concerns here.

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