Evaluation of Safety, Design, and Operation of Shared-Use Paths
Final Report
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APPENDIX B. PERCEPTION SURVEY BACKGROUND INFORMATION FORM
Shared Use Paths and Trails
Background Information
GENDER: MALE FEMALE AGE RANGE:
| 18-24 |
25-31 |
32-38 |
39-45 |
46-51 |
52-58 |
59-65 |
over 65 |
WALKING (OR RIDING YOUR BIKE) FOR RECREATION OR
FITNESS:
| NEVER |
| A FEW TIMES A YEAR |
| MORE THAN ONCE A MONTH |
| MORE THAN TWICE A WEEK |
| ALMOST DAILY |
HOW OFTEN DO YOU WALK (OR RIDE YOUR BIKE) ON SHARED USE PATHS/TRAILS?
| NEVER |
| RARELY |
| OCCASIONALLY |
| REGULARLY |
| 1-3 TIMES A WEEK |
| ALMOST DAILY |
Bike or Ped Last 4 of SSN: ________ Chapel Hill, Raleigh, TRB
WHAT ARE YOUR MOST FREQUENT WALKING (OR BIKE RIDING) PURPOSESWHEN USING A SHARED USE PATH/TRAIL?
| COMMUTING TO WORK |
| COMMUTING TO SCHOOL |
| UTILITARIAN TRIPS |
| TO SOCIALIZE WITH A FRIEND(S) |
| RECREATION |
| PHYSICAL FITNESS |
WHAT OTHER ACTIVITIES DO YOU PARTICIPATE IN ON SHARED USE PATHS/TRAILS?
| WALK |
RUN |
| HIKE |
CROSS-COUNTRY SKI |
| IN-LINE SKATE |
PUSH A CHILD IN A STROLLER |
| JOG |
TRAVEL WITH A DISABLED PERSON |
| WALK A DOG |
OTHER (DESCRIBE) |
IF RESPONDING AS A BICYCLIST, WHAT OTHER TYPES OF BICYCLE EQUIPMENT DO YOU USE ON A SHARED USE PATH/TRAIL?
| A RECUMBANT BIKE |
| A TANDEM BICYCLE |
| A BICYCLE TRAILER |
| A TRAIL-A-BIKE WITH A CHILD RIDER |
| A FOLDING BICYCLE |
| OTHER (PLEASE DESCRIBE) |
YOUR ESTIMATE OF YOUR OVERALL HEALTH STATUS:
FHWA-HRT-05-137
|
