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1. What is your relationship with the City of Belmont? Select all that apply.

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2. What is your primary mode of travel?

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3. What other modes of travel do you regularly use? Select all that apply.

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4. What are your top transportation priorities? Select up to 3.

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5. How safe do you feel walking?

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6. How safe do you feel biking?

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7. What is your age? (optional)

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8. What is your employment status? (optional)

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