Tell us a bit about yourself

Thank you for your interest and input into North Dakota’s Transportation Connection planning effort. Please tell us a little bit more about yourself. This information is critically important to our efforts to reach across the state.

The Civil Rights Act of 1964 and related nondiscrimination authorities require the North Dakota Department of Transportation to ensure everyone has the opportunity to comment on the transportation programs and activities that may affect their community. To help with this, we ask that you respond to the following questions. You are not required to disclose the information requested in order to participate. Any information provided will be retained solely for the purpose of collecting statistical data to ensure inclusion of all segments of the population affected by transportation programs and activities. Your information will not be used or retained in any other way.

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* 1. What is your ZIP code?

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* 2. What is your gender?

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* 3. What is your age?

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* 4. What is your race or ethnicity?

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* 5. In what language do you read most often in your home?

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* 6. How long have you lived in North Dakota?

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* 7. What is your primary mode of commuting for your daily or regular transportation needs?

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