Neighborhood Transportation Improvement Survey
| What is your age? |
| ___16 or younger |
___17 to 64 |
___65 and older |
| How do you usually travel? |
| ___Car |
___Bus |
___On Foot |
___On Bike |
Other__________________ |
| Are there any streets in your neighborhood which
need to be repaired? |
| ___Yes |
___No |
If Yes, which ones and where? |
| Are there any streets in you neighborhood which
need better lighting? |
| ___Yes |
___No |
If Yes, which ones and where? |
| Are there any streets in your neighborhood which
need sidewalks? wheelchair ramps? bike lanes? bike racks? |
| ___Yes |
___No |
If Yes, which ones and where? |
| Are there any streets in you neighborhood which
need street signs? stops signs? traffic signals? street markings? |
| ___Yes |
___No |
If Yes, which ones and where? |
| Are there any streets in your neighborhood on
which cars drive very fast? |
| ___Yes |
___No |
If Yes, which ones and where? |
| Are there any streets in your neighborhood where
traffic signals do not give you enough time to walk across the street? |
| ___Yes |
___No |
If Yes, which ones and where? |
| Are there any bus stops in your neighborhood
which get used a lot but which have no place to sit or no protection
from the sun and rain? |
| ___Yes |
___No |
If Yes, which bus stops? |
|
