ADA Transition Plan Question Title * 1. What is your age? Less than 16 17 to 24 25 to 34 35 to 44 45 to 54 55 to 59 60 to 64 65 to 74 Over 75 Question Title * 2. What is your primary mode of transportation? Car Bus/light rail Bicycle Walking Other (please specify) Question Title * 3. Do you have any of the following disabilities that affect your mobility when traveling on sidewalks? Check all that apply. Visually impaired Mobility impaired Hearing impaired None Other (please specify) Question Title * 4. What is the usual purpose of your walking trip? Pleasure/exercise/health To access goods or services (groceries, errands, etc.) School/church/civic To work Question Title * 5. What are the biggest challenges you experience as a pedestrian along ADOT facilities? Question Title * 6. What general conditions related to physical accessibility do you find to be the most difficult? Lack of curb ramps Sidewalks/walkways in poor condition Sidewalk/driveway slopes Sidewalk too narrow No median refuge, or too narrow of a refuge No crosswalk markings No pedestrian signals (walk/don’t walk) No audible cues from pedestrian signals Other (please specify) Question Title * 7. If you have a disability, or travel with someone who has a disability, what accessibility issues do you typically face? Question Title * 8. Please rank the following types of ADA improvements necessary to achieve greater accessibility, with 1 being the highest priority. 1 2 3 4 5 6 Improve sidewalks/walkways Improve sidewalks/walkways 1 Improve sidewalks/walkways 2 Improve sidewalks/walkways 3 Improve sidewalks/walkways 4 Improve sidewalks/walkways 5 Improve sidewalks/walkways 6 Improve median refuge Improve median refuge 1 Improve median refuge 2 Improve median refuge 3 Improve median refuge 4 Improve median refuge 5 Improve median refuge 6 Improve sidewalks at driveways Improve sidewalks at driveways 1 Improve sidewalks at driveways 2 Improve sidewalks at driveways 3 Improve sidewalks at driveways 4 Improve sidewalks at driveways 5 Improve sidewalks at driveways 6 Improve pedestrian signals Improve pedestrian signals 1 Improve pedestrian signals 2 Improve pedestrian signals 3 Improve pedestrian signals 4 Improve pedestrian signals 5 Improve pedestrian signals 6 Install/improve curb ramps Install/improve curb ramps 1 Install/improve curb ramps 2 Install/improve curb ramps 3 Install/improve curb ramps 4 Install/improve curb ramps 5 Install/improve curb ramps 6 Install/improve crosswalk markings Install/improve crosswalk markings 1 Install/improve crosswalk markings 2 Install/improve crosswalk markings 3 Install/improve crosswalk markings 4 Install/improve crosswalk markings 5 Install/improve crosswalk markings 6 Question Title * 9. Are there other services, programs, or ADOT owned facilities that you think are inaccessible? Please provide details. Question Title * 10. Is the Americans with Disability policy and greivance procedure clear enough to understand the process? Yes No Question Title * 11. Please provide any comments regarding the policy. Done