1.What barriers and issues do you have when traveling or how can traveling be made easier for you?

2.What is one recommendation you would make to transportation planners and local government officials to remove barriers to traveling?

3.To identify solutions, it is helpful for us to understand who has what needs. Tell us about yourself. Select all that apply.

I am a person with a disability 

I am an older adult (aged 65+)

My household income is not enough to meet my family's basic needs (food, healthcare, transportation, shelter)

I am a minority (Black, Hispanic or Latino, Asian, multiracial, or other minority)

I have limited English proficiency

I live in a household without a vehicle

I live in a rural area

My commute to work is more than 45 minutes

I am a minor (under age 18)

I commute to more than one job

I telecommute at least once a week

4.What else would you like us to know?

5.Would you be interested in being interviewed to discuss challenges you have in traveling throughout the St. Louis region?

Yes

No

6.If you're interested in being interviewed, please provide your name and your email address or phone number.

Name

Email Address

Phone Number