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* 1. On what day(s) of the week is it hardest for you to get to work? (check all that apply)

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* 2. During what time(s) of the day is it hardest for you to get to and from work? (check all that apply)

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* 3. What areas of the Anoka County region are hard to get to because of lack of transportation? (check all that apply)

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* 4. Have you ever quit a job or lost a job because it was hard for you to get to work?

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* 5. Which city do you WORK in?

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* 6. Which city do you LIVE in?

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* 7. If used by your family, in what city is your childcare?

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* 8. If used by your family, in what city (cities) are your medical/psychiatric appointments

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* 9. Do you have a disability?

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* 10. If YES, please check all that apply

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* 11. Are you able to travel independently?

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* 12. Do you speak English as a second language?

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* 13. What is the MAXIMUM amount you are willing/able to pay for a one-way ride to or from work?

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* 14. How much time are you able to spend on a one-way trip to your place of employment?

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* 15. Do you work from home?

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* 16. Do you work outside of your home?

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* 17. "I do not work because there is a transportation problem"

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* 18. If TRUE, check all that apply

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* 19. I do not work but NOT due to transportation

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* 20. What transportation services do you use now, and what are the wait times?

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* 21. Please give any suggestions to improve transportation services

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* 22. Please list your address (In order to avoid duplications of this survey)

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* 23. Do you have any other suggestions for needs in Anoka County?

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