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1. Which county do you live in?

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2. What city/town do you live in?

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3. Do you work in the same county that you live in?

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4. How do you travel to work, school, medical trips, recreation? (select all that apply)

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5. Would you increase walking or biking to your travel/commuting patterns if it was easier to do so?

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6. On average, how many total miles per week do you travel for trips outside of work?

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7. Have you ever lost or had to quit a job because you did not have reliable transportation to work?

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8. Rank 1-10, your most important priorities when it comes to transportation projects. Top/1 = most important, Bottom/10 = least important.

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9. Are there any specific locations where the roadway is in need of significant repair or improvements? EX: potholes, shoulders. (provide street and nearest cross street if possible)

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10. Are there any specific walking related projects you would like to see in your community? Ex: crosswalks, sidewalks, or improved lighting

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11. Are there any specific bicycle related projects you would like to see in your community? Ex: bike lanes (provide street and nearest cross street if applicable)

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12. Area of major safety concern?

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13. Do you have any needs not being addressed by the transportation system?

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14. If you would like to be contacted about public forums, we will be hosting in your county please enter your email address below.

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15. Please select the ethnicity or race with which you identify

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16. Please select your age category.

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17. What is your gender?

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