|
House Address (required) : |
|
|
|
Name (required) : |
|
|
|
1. How long have you lived at this current address?
0-1 YEARS
2-4 YEARS
5-9 YEARS
10 plus YEARS |
|
2. Do you plan to be living in this neighborhood 5 to 7 years from now?
YES
NO |
|
3a. Do you use Business 40?
YES
NO |
|
3b. What streets do you typically use instead of Business 40?
|
|
4. What other forms of transportation do you use?
Bus
Carpool
Motorcycle
Walking
Bike
Scooter
Other
|
|
5. Do you or a member of your family have any physical impairment that is a factor when you commute? (ex.-handicap/wheelchair use)
|
|
6a. Do you use any of the bridges crossing Business 40 in your usual travels?
YES
NO |
|
6b. If yes, please mark one of the following:
a. Daily
b. Weekly
c. Monthly
d. Frequently
e. Seldom |
|
6c. Which bridges do you typically use?
1.
2.
3.
4.
5.
6.
|
|
7. What concerns, if any, do you have with traveling Business 40?
|
|
8. How can transportation be improved in your neighborhood?
|
|
9. Which would you prefer?
Option A
To travel Business 40 while under construction, which would take 4 to 6 years?
Option B
To use detours for 2 years while the highway and bridges on Business 40 are closed and under construction? |
|
10. How often would you like to receive updates about this project?
a. Every month
b. Every 2 months
c. Every 3 months
d. Every 6 months
e. Whenever major milestones are reached
f. Other
|
|
11. If Business 40 was closed, how would you get to those places you normally would go using Business 40?
|
|
12. How do you like to receive information about the project? (Check all that apply)
a. Mail - please provide address:
b. Phone - please provide phone number:
c. Newspaper - please provide a list of papers you read:
d. Flyers
e. Internet/e-mail - please provide email address:
f. In person
g. Neighbor
h. Church - please provide name of church:
i. Radio - please list station(s):
j. City Access Television
k. Other
|
|
13. How would you like to contact us? (Check all that apply)
a. Mail: Business 40, 234 South Broad Street, Winston-Salem, NC 27101
b. Phone: 336.722.0565
c. Flyers
d. Internet/e-mail: business40@business40nc.com
e. In person
f. Other
|
|
14. Is there anything else you would like to add about transportation issues in your neighborhood? For example: sidewalks, bike paths, bus routes, etc.
|
|
Public meetings are being planned to continue to discuss this project. Please provide a few more details. |
|
15. Where would be a convenient place for you to attend a meeting?
|
|
16. What time of the day or night would be convenient for you to attend a meeting?
|
|
17. What day of the week or weekend would be convenient for you to attend a meeting?
|
|
18. Would child care services at the meeting make it easier for you to attend?
|
|
19. Do you need handicap facilities or sign language translation?
|
|
Finally, is there anything you believe would make your commute easier or that you would like to add to this survey?
|
|
|
Thank you for your time and interest. We look forward to seeing you at upcoming meetings.
|
|
|
|
|
|
|
