|
| 1 - Age category: (select one) |
|
|
| 3 - What is the primary reason you walk? (select one) |
|
| If you answered "Other" in the previous question, please explain: |
|
| 4 - Where and how do you usually walk? (select one) |
|
| If you answered "Other' in the previous question, please explain: |
|
| 5 - What is the average distance you walk per trip? (select one) |
|
| SECTION TWO: ABOUT YOUR WALKING EXPERIENCE |
|
| 1 - What roads, sidewalks, or trails do you use most frequently? (please explain) |
|
| 2 - What problems do you encounter that are of most concern to you as a pedestrian? (please rate all that apply in order of importance by entering numbers, 1 being of most concern to you, and 12 being of least concern to you) |
| Drivers are aggressive Enter a valid ranking. Example: 1, 2 or 3 | | Drivers do not leave enough space when passing Enter a valid ranking. Example: 1, 2 or 3 | | Negative comments from drivers Enter a valid ranking. Example: 1, 2 or 3 | | Cyclists, rollerbladers or skateboarders on sidewalks Enter a valid ranking. Example: 1, 2 or 3 | | Lack of sidewalks Enter a valid ranking. Example: 1, 2 or 3 | | Sidewalks are poorly connected Enter a valid ranking. Example: 1, 2 or 3 | | Sidewalks are not easily accessed Enter a valid ranking. Example: 1, 2 or 3 | | Sidewalks are poorly maintained Enter a valid ranking. Example: 1, 2 or 3 | | Improper snow removal from sidewalks in winter Enter a valid ranking. Example: 1, 2 or 3 | | Poor shoulders on roads where there are no sidewalks Enter a valid ranking. Example: 1, 2 or 3 | | Lack of safe crosswalks Enter a valid ranking. Example: 1, 2 or 3 | | Inadequate sidewalks near key destinations Enter a valid ranking. Example: 1, 2 or 3 |
|
| 3 - Have you encountered problems not mentioned in the question above? (please explain) |
|
| 4 - What roads, sidewalks, or trails do you feel unsafe on as a pedestrian? Why? (please explain) |
|
| 5 - What could be changed about these areas to improve your walking experience? (please explain) |
|
| 6 - Do you feel your neighbourhood has adequate sidewalks? (please explain) |
|
| SECTION THREE: ABOUT ACTIVE TRANSPORTATION EDUCATION |
|
| 1 - How did you hear about Active Transportation in Thunder Bay? (check all that apply) |
|
| 2 - What else can we do to help you learn about Active Transportation? (please explain) |
|
| 3 - Do you have any other comments or suggestions for Active Transportation Thunder Bay? (please explain) |
|
| 4 - Can we contact you with more information on Active Transportation? If so, please provide your contact information: |
|
|
| Enter a valid email address. Example: name@company.com |
Your session will expire in: