Transportation and Health Survey

What is your age?

Question Title

* 1. What is your age?

What is your gender?

Question Title

* 2. What is your gender?

Male

Female

What is your ethnicity origin (or race)?

Question Title

* 3. What is your ethnicity origin (or race)?

White

Hispanic or Latino

Black or African American

Native American or American Indian

Asian/Pacific Islander

Other (please specify)

What is your five-digit zip code?

Question Title

* 4. What is your five-digit zip code?

Do you have a California Driver's License?

Question Title

* 5. Do you have a California Driver's License?

Yes

N/A

Do you own a smartphone?

Question Title

* 6. Do you own a smartphone?

Yes

N/A

Do you own/lease a: (please check off all that apply)

Question Title

* 7. Do you own/lease a: (please check off all that apply)

Automotive Vehicle

Bus Pass

Bicycle

N/A

How many licensed drivers are in your household?

Question Title

* 8. How many licensed drivers are in your household?

1-2

3-4

N/A

Do you have a primary care physician?

Question Title

* 9. Do you have a primary care physician?

Yes

Does a family member/friend drive you to your doctor's appointments?

Question Title

* 10. Does a family member/friend drive you to your doctor's appointments?

Yes