Community Outreach Questionnaire

This questionnaire is also available, by request, in an alternate format.

If you would like to make a request for an alternate format, please contact the City of Sacramento at (916) 808-5092 or email Philip Vulliet at PVulliet@cityofsacramento.org
 
This effort is intended to collect information on how people use our sidewalks and paths to travel throughout the city. This process is part of the ADA Self-evaluation and ADA Transition Plan for City Public Rights-of-Way (PROW) facilities in compliance with the Americans with Disabilities Act (ADA).
 
This questionnaire is one of many ways that the City is identifying and defining accessibility needs as part of its process to provide more accessible programs, activities and services.
 
We want to better understand how you use the facilities we intend to improve. We welcome comments as well as answers to the questions below. Any information provided to us will help strengthen the final recommendations for policies and procedures that will result from these efforts.  Please feel free to attach additional pages, where necessary. 

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* 1. Do you use City programs, services or activities provided by the public works department? (Select Yes or No below)

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* 2. Do you use City sidewalks or walkways to get around as a pedestrian? (Select Yes or No below)

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* 3. Do you walk/travel around your neighborhood, to nearby transit stops using city sidewalks, or city buildings/parks? (4 options provided below, multiple answers can be selected)

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* 4. Which neighborhood do you live in? (Comment box provided below)

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* 5. In your experience as a pedestrian, have you encountered physical barriers or difficulties using the sidewalks or pedestrian paths (steep paths, broken sidewalk, absence of traffic signals, trip hazards or spots where no paved path is provided)?  If yes, please describe the location and situation that caused the difficulty. (Comment box provided below)

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* 6. Are there City facilities that you cannot reach due to issues with the sidewalk or pathways leading to them (buildings, parks or other city facilities)? (Comment box provided below)

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* 7. Have you ever used the “Submit a Service Request” link on the City website to (clarify): “inform use” about a street or sidewalk issue? If yes, was the response useful? (Comment box provided below)

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* 8. Can you suggest improvements to City public infrastructure that would improve access? (Comment box provided below)

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* 9. Do you have other suggestions for improving mobility to or around City facilities to encourage full participation in our programs, activities or services? (Comment box provided below)

Thank you for taking the time to fill out this questionnaire!

We would appreciate completion of the information below.  This information is optional.  If completed, it will provide our team with the opportunity to contact you for further comment and to notify you of future disability-related events.

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* 10. Please select one of the following (2 options provided below)

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* 11. Please fill in your contact information below. Order of contact information is as follows: Name, Address, City / Town, State / Province, Zip / Postal Code, Country, Email, Phone Number

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