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Publication Number: FHWA-HRT-05-137
Date: July 2006

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

  1. GENDER:     MALE      FEMALE

  2. AGE RANGE:

    18-24 25-31 32-38 39-45 46-51 52-58 59-65 over 65

  3. 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
  4. 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

  5. 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
  6. 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)
  7. 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)
  8. YOUR ESTIMATE OF YOUR OVERALL HEALTH STATUS:

    POOR FAIR GOOD EXCELLENT

 

FHWA-HRT-05-137

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