Questionnaire Fill out the questionnaire below to share your thoughts. Make sure to hit the “share feedback” button at the bottom of the page to submit your responses. Questionnaire 2 Session ID What is your home ZIP code? Trends in road safety behavior Does the information we’ve shared with you match with what you see in your community? Yes No Unsure There are a variety of factors that may contribute to a crash that results in a serious injury or death, depending on location, roadway conditions and the people involved. What are the factors that concern you the most? (pick top three) Vehicle traveling the wrong way Speeding Age Impaired users Distracted driving Stolen vehicles Size of vehicles Running red lights and stop signs Are there other factors contributing to traffic safety issues in your community? (write-in) Safety Strategies — Priorities & Preferences A variety of strategies may be used to mitigate the underlying factors that lead to crashes. From the list shown on the “Traffic Safety Strategies” tab: Which do you feel would be most effective in your community? (Select all that apply) Sidewalks and pathways Bicycle lanes Safe crossings for pedestrians Roundabouts Turning lanes, reduction of turning conflicts Addressing roadway curves, rumble strips, median barriers, etc. Setting speed limits to reduce risk Using speed safety cameras Street lighting Local safety planning Are there any that you feel would not be effective? (Select all that apply) Sidewalks and pathways Bicycle lanes Safe crossings for pedestrians Roundabouts Turning lanes, reduction of turning conflicts Addressing roadway curves, rumble strips, median barriers, etc. Setting speed limits to reduce risk Using speed safety cameras Street lighting Local safety planning Are there strategies you would suggest that are not on this list? (write-in) Do you have any other comments about transportation safety? (write-in) Stakeholder ID What is your racial/ethnic heritage? (Select all that apply) Alaskan Native, Native American, or Indigenous Asian Native Hawaiian/Pacific Islander Black, African American, or African Middle Eastern or Arabic White or European Multiracial Decline to answer Not listed (please specify)Not listed (please specify) Are you affiliated with an organization? Please write the name of your company, institution, or association. (Optional) What is your annual household income? Less than $10,000 $10,001 to $50,000 $50,001 to $100,000 $100,001 to $150,000 More than $150,000 I’d rather not say What is your gender identity? (Select all that apply) Female Male Gender non-binary or non-conforming Decline to answer Another identity (please specify) Another identity (please specify) Please select your age range: Under 18 18-24 25-34 35-44 45-54 55-64 65 or older What is the primary language you speak at home? (Select one) English Spanish Amharic Russian Mandarin Tagalog Japanese Vietnamese Korean Hindi Ukrainian Arabic Punjabi Somal Khmer Decline to answer Another language (Please specify):Another language (Please specify): Click below to submit your feedback: Share Feedback If you are human, leave this field blank. Next Page Previous Page
