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* 1. Which of the following applies to you?

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* 2. What is your age range?

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* 3. How do you currently travel within Lompoc? (check all that apply)

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* 4. On average, how frequently do you WALK in Lompoc for the following reasons?

  Daily At least once a week At least once a month Maybe once a year Never
Go to school
Go to work
To get to transit
Shopping, errands, or dining
Leisure, exercise, or go to park
Walk dog or pet
Worship or community events
Visit family or friends

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* 5. For a typical WALK, what distance is comfortable for you?

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* 6. How would you rate the following as reasons that you do not WALK in Lompoc more frequently?

  Major reason Minor reason Not a reason
Traffic is too fast and/or heavy
Sidewalks, paths, or crossings are missing or in poor condition
Weather
Darkness
Concerned about personal security or safety
Need to transport other people and/or things

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* 7. On average, how frequently do you BICYCLE in Lompoc for the following reasons?

  Daily At least once a week At least once a month Maybe once a year Never
Go to school
Go to work
To get to transit
Shopping, errands, or dining
Leisure, exercise, or go to park
Worship or community events
Visit family or friends

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* 8. What is the distance of your typical bicycle ride for transportation purposes (i.e., not including fitness and leisure riding)?

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* 9. What is the distance of your typical bicycle ride for fun or fitness?

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* 10. How would you rate the following as reasons that you do not BICYCLE in Lompoc more frequently?

  Major reason Minor reason Not a reason
Traffic is too fast and/or heavy
Lack of and/or poor condition of bike facilities (i.e., bike lane, paths, wide shoulders)
Weather
Darkness
Lack of adequate or secure bicycle parking
Lack of worksite amenities (e.g., showers, lockers, etc.)
Concerned about personal security or safety
Need to transport other people and/or things
I do not have a bike

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* 11. What type of cyclist do you consider yourself?

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* 12. If it were safe and convenient, how likely would you frequently (at least once a week) WALK or BIKE for the following reasons?

  Very likely Somewhat likely Neutral Somewhat unlikely Very unlikely
Go to school
Go to work
To get to transit
Shopping, errands, or dining
Leisure, exercise, or go to the park
Worship or community events
Visit family or friends

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* 13. On the way to which of the following destinations does the city most need improvements to make walking a more safe and convenient travel mode?

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* 14. On the way to which of the following destinations does the city most need improvements to make biking a more safe and convenient travel mode?

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* 15. Where does the City of Lompoc most need walking and/or biking improvements, and what improvements are most needed? (Briefly describe and identify by street name, neighborhood, or road segment; for example – bike lanes on A St. from College Ave. to North Ave.)  

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* 16. Where are missing sidewalks most needed to be constructed?

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* 17. Where are pedestrian crossings most needed to be constructed?

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* 18. Where are bike paths or bike lanes most needed to be constructed?

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* 19. Where are other bicycle improvements most needed and what are they?

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* 20. Would you like to further discuss specific needs or improvements with City of Lompoc staff, or otherwise participate as a stakeholder on this project? If so, then please enter your name, telephone number, and email address below, along with a description of what you would like to discuss, or please indicate below if you want to be a project stakeholder.

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