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* 1. Company/organization name (optional):

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* 2. Survey contact person's name/position (optional):

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* 3. Home city/county:

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* 4. Place of work city/county:

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* 5. Would you like to be on a mailing list to receive study updates? If so, please provide your email address.

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* 6. Gender:

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* 7. Age range:

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* 8. Railroads in my area are safe.

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* 9. Railroad crossings in my area are safe.

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* 10. How would you describe your interest in rail in Arkansas? (Please check only one response. Your response will help tailor the rest of the survey questions. If you are interested in more than one area, you will have the opportunity to answer additional questions at the end of the first survey. Please note that a response to this question is required in order to continue.)

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