Transportation Access Survey Form
Full Name
Age
Location / Address
1. What is your primary mode of transportation?
Car
Public Transit
Bicycle
Walking
Other
2. How far is your usual destination (e.g., work, school)?
Less than 1 km
1-5 km
5-10 km
More than 10 km
3. How easy is it for you to access transportation?
Very Easy
Easy
Moderate
Difficult
Very Difficult
4. What are the main challenges you face with transportation?
5. Any suggestions for improving transportation access in your area?