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* 1. Check all that apply.

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* 2. Where do you live?

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* 3. During a typical week, how many times do you use each of the following types of transportation?

  0 fewer than 5 5-10 10-15 more than 15
Walk (or use mobility device)
Bicycle
Bus or train
Drive a vehicle alone
Drive or ride in a vehicle with others
Taxi
Transportation network company (Uber, Lyft, etc.)

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* 4. Which of the following Ballard destinations do you visit frequently?

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* 5. How much of a barrier are the following in preventing you from using other means of travel (other than driving your car alone). Please rate each using the following scale of 1 to 5 where 1 indicates a “Not a Barrier” to 5 indicating “A Significant Barrier.”

  1 2 3 4 5
Challenges in traveling between home and bus stop
Challenges in traveling between bus stop and your destination
Having to plan around the bus schedule
Hard to find a parking space near a bus stop
Hard to understand the transit/bus system
Irregular work hours
Non-commute travel needs (for example: childcare, work-related trips, errands)
Finding neighbors to carpool with
Safety/comfort riding with strangers

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* 6. What type of non-work travel needs do you normally have? Check all that apply.

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* 7. When would you want bus service?

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* 8. What are the top three things that would help you get to, from, or around Ballard without driving alone? Please check only three.

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* 9. Would improved connections to Link light rail make it easier for you to get around?

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* 10. Which of the following do you have? Check all that apply.

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* 11. Please share any additional information about your transportation needs in getting around Ballard.

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* 12. Would you like to be kept informed about project updates or be considered for opportunities to provide feedback on future solutions?

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* 13. Please provide your email address if you answered yes to the above questions.

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* 14. I don’t have and email. My phone number is:

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