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Tell us about your experience

The survey takes 5-10 minutes to complete. 

Your input and support are important to the success of this plan! Please fill out the survey below to share your thoughts and priorities on improving transportation safety in Washington County.

Questions marked with a red star (*) are required.

 

Questions Never 1-2 times a month 1-2 times a week 3-5 times a week Daily
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Questions Unsafe Somewhat unsafe Neutral Somewhat safe Safe N/A
3. What are your top three road safety concerns in Washington County?
(Choose three)
5. Which county do you live in?
6. Which ZIP code do you live in?
7. Which of the following best represents the annual income of your household before taxes?
8. How many children under the age of 18 live in your household?
9. Which of the following includes your age?
10. Within the broad categories below, where do you place your racial or ethnic identity?
(Select all that apply)
11. What language or dialect is used most in your home?
(Select one)
12. How do you identify your gender?
(Select all that apply)
13. Do you live with a disability?
(Select all that apply)