Wufoo

Public Survey

1. Do you live within the project area?
Yes No
2. Do you work within the project area?
Yes No
3. Do you represent the area as a public official or administrator?
Yes No
4. How often do you travel along 17th Street?
Every Day Several Times a Week Once or Twice a Week or Less Never
5. How often do you travel along 6th or 7th Avenue?
Every Day Several Times a Week Once or Twice a Week or Less Never
6. If you travel along 17th Street or 6th and 7th Avenues, why do you make the trip?
Work School Shopping Resident - All Trips
7. What problems do you encounter traveling along the 17th Street or 6th/7th Avenue Corridors?
8. Do you feel that transportation improvements are needed in the project area?
Yes No
9. If you answered "yes" to question #8, what improvements do you feel are needed? (e.g. improve safety, widen roadway, access management, improve drainage, ect.)
10. If you answered "yes" to question #8, why do you think improvements are needed?
Safety Improved Travel Times Reduce Congestion Convenience and Access Economic Development Other
11. What environmentally sensitive areas, historic resources, or other special places are located within the project area?
12. If you have any specific comments or concerns, please list them below:
(Optional) Name: First Last
(Optional) Address:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
(Optional) Email:
Do Not Fill This Out