Optional survey questions Please share your thoughts with us. All questions are optional. The Washington State Department of Transportation is developing facilities that safely meets the needs of people who walk, cycle, roll, use transit, and vehicles moving people and goods. WSDOT would appreciate your help in identifying the best locations for these improvements by answering the following questions. Which statement best describes you? select all that apply I work or attend school in the study area I live in the study area I travel through the study area I do not work, live, or travel through the study area How often do you travel through the study area? Select one Rarely or Never At least once a month At least once per week Daily How do you travel around and through the study area? Select all that apply Walk Bicycle Personal mobility device (scooter, wheelchair, etc.) Transit/Dial-a-ride Carpool with others Personal vehicle by yourself Other (please explain) What strategies would you like to see to improve travel for people biking, walking, and rolling? Select all that apply Add pedestrian facilities Improve sidewalk access for people using wheelchairs or mobility scooters Provide more opportunities to cross the highway Provide separation between vehicles and those biking, walking, and rolling Improve lighting What is your zip code? 98362 98363 98382 98326 98381 98357 Other, please be specific Do you have additional information to share with us? Name Email Message Optional demographic questions Title VI of the Civil Rights Act of 1964 requires the Washington State Department of Transportation to be sure that everyone in the affected project areas has a chance to be heard and to respond to transportation programs and activities that may affect their community. To help with that, we ask that you voluntarily provide us information about your race, ethnicity, gender and/or other demographics. You are not required to disclose the information requested to participate in this questionnaire. WSDOT will handle the information gathered as confidentially as possible. For further information regarding this process please contact the Title VI Coordinator by phone at 360-705-7090. Please respond to the following six questions: How do you identify? Male Female Non-binary Prefer not to disclose Do you have a disability? Yes No Prefer not to disclose Do you identify as Latinx or of Hispanic or Latino origin? Yes No How do you identify? Select all that apply American Indian/Alaska Native Asian or Asian American Black or African American Native Hawaiian or Pacific Islander Caucasian Other (please tell us more) Prefer not to disclose What languages are spoken in your home? English Spanish Korean German Vietnamese Other (please tell us more) Prefer not to disclose What is your age? Under 18 18-24 25-34 35-44 45-54 55-64 65-79 80+ Prefer not to disclose Are you human? + 2 = 5