Neighborhood Walk Survey

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* 1. How often do you walk in your neighborhood?

daily

once or twice a week

rarely

never

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* 2. Why do you walk in your neighborhood? (check all that apply)

to reach destinations such as other homes, schools, or businesses

to walk my pet

for exercise

to reach transit stops

it is my primary means of transportation

to see what's going on in my neighborhood

I don't walk in my neighborhood

Other (please specify)

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* 3. How do you get around for things like shopping, visiting the doctor, running errands, or going to other places? (check all that apply)

Drive yourself

Have others drive you

Walk

Bike

Use public transportation

Take a taxi/cab/Uber

Use handicap services

Other, please specify

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* 4. Does the neighborhood where you live have the following?

	Yes	No	Not Sure
Easy to read traffic signs	Easy to read traffic signs Yes	Easy to read traffic signs No	Easy to read traffic signs Not Sure
Enforced speed limits	Enforced speed limits Yes	Enforced speed limits No	Enforced speed limits Not Sure
Bicycle and walking paths	Bicycle and walking paths Yes	Bicycle and walking paths No	Bicycle and walking paths Not Sure
Well-lit and maintained sidewalks	Well-lit and maintained sidewalks Yes	Well-lit and maintained sidewalks No	Well-lit and maintained sidewalks Not Sure
Safe crosswalks for pedestrians	Safe crosswalks for pedestrians Yes	Safe crosswalks for pedestrians No	Safe crosswalks for pedestrians Not Sure
Buttons to activate signal to cross the street on foot	Buttons to activate signal to cross the street on foot Yes	Buttons to activate signal to cross the street on foot No	Buttons to activate signal to cross the street on foot Not Sure
Sidewalk amenities such as shade trees, benches and trash cans	Sidewalk amenities such as shade trees, benches and trash cans Yes	Sidewalk amenities such as shade trees, benches and trash cans No	Sidewalk amenities such as shade trees, benches and trash cans Not Sure
Safe, handicap-accessible public transportation stops	Safe, handicap-accessible public transportation stops Yes	Safe, handicap-accessible public transportation stops No	Safe, handicap-accessible public transportation stops Not Sure

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* 5. How important do you think it is to have the following in your community?

	Not at all important	Not very important	Somewhat important	Very important	Extremely important
Easy to read traffic signs	Easy to read traffic signs Not at all important	Easy to read traffic signs Not very important	Easy to read traffic signs Somewhat important	Easy to read traffic signs Very important	Easy to read traffic signs Extremely important
Enforced speed limits	Enforced speed limits Not at all important	Enforced speed limits Not very important	Enforced speed limits Somewhat important	Enforced speed limits Very important	Enforced speed limits Extremely important
Bicycle and walking paths	Bicycle and walking paths Not at all important	Bicycle and walking paths Not very important	Bicycle and walking paths Somewhat important	Bicycle and walking paths Very important	Bicycle and walking paths Extremely important
Well-lit and maintained sidewalks	Well-lit and maintained sidewalks Not at all important	Well-lit and maintained sidewalks Not very important	Well-lit and maintained sidewalks Somewhat important	Well-lit and maintained sidewalks Very important	Well-lit and maintained sidewalks Extremely important
Safe crosswalks for pedestrians	Safe crosswalks for pedestrians Not at all important	Safe crosswalks for pedestrians Not very important	Safe crosswalks for pedestrians Somewhat important	Safe crosswalks for pedestrians Very important	Safe crosswalks for pedestrians Extremely important
Buttons to activate signal to cross the street on foot	Buttons to activate signal to cross the street on foot Not at all important	Buttons to activate signal to cross the street on foot Not very important	Buttons to activate signal to cross the street on foot Somewhat important	Buttons to activate signal to cross the street on foot Very important	Buttons to activate signal to cross the street on foot Extremely important
Sidewalk amenities such as shade trees, benches, and trash cans	Sidewalk amenities such as shade trees, benches, and trash cans Not at all important	Sidewalk amenities such as shade trees, benches, and trash cans Not very important	Sidewalk amenities such as shade trees, benches, and trash cans Somewhat important	Sidewalk amenities such as shade trees, benches, and trash cans Very important	Sidewalk amenities such as shade trees, benches, and trash cans Extremely important
Safe, handicap-accessible public transportation stops	Safe, handicap-accessible public transportation stops Not at all important	Safe, handicap-accessible public transportation stops Not very important	Safe, handicap-accessible public transportation stops Somewhat important	Safe, handicap-accessible public transportation stops Very important	Safe, handicap-accessible public transportation stops Extremely important

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* 6. How satisfied are you with the safety for walkers in your neighborhood?

Extremely satisfied

Very satisfied

Somewhat satisfied

Not very satisfied

Not at all satisfied

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* 7. Would you say in general that your health is:

Excellent

Very good

Good

Fair

Poor

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* 8. During the past 7 days, on how many days were you physically active for a total of at least 60 minutes per day?

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* 9. Which neighborhood do you live in?

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* 10. If you had safe places to walk in your neighborhood, how likely would you be to walk for exercise?

Extremely likely

Very likely

Somewhat likely

Not likely at all

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* 11. What is your current employment status?

Self-employed, part -time

Self-employed, full-time

Employed, part-time

Employed full-time

Retired, not working at all

Not in the labor force for other reasons

Unemployed, but looking for work

Student

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* 12. What zip code do you live in?

70802

70805

70806

70807

70808

70809

70810

70811

70812

70815

70817

70820

Other (please specify)

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* 13. What is your gender?

Male

Female

other

prefer not to answer

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* 14. Please describe your race/ethnicity.

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* 15. What was your yearly household income before taxes in 2016?

$15,000 or less

$15,001 to $25,000

$25,001 to $30,000

$30,001 to $35,000

$35,001 to $50,000

$50,001 to $75,000

$75,001 to $100,000

$100,001 to $120,000

$121,000 or more

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* 16. What is your age?

18 – 24

25 – 34

35 – 44

45 – 54

55 – 64

65+