Capital Metropolitan Transportation Authority Survey

Question title

Please fill out your information:

Email

Phone

Name

Zip

Capital Metropolitan Transportation Authority Survey

Question title

* Please select all that apply to you.

My age is 18 or younger.

My age is between 19 and 25.

My age is between 26 and 35.

My age is between 36 and 55.

My age is 56 or older.

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Capital Metropolitan Transportation Authority Survey

Question title

* Please select all that apply to you.

I am a Black or African American person.

I am an Indigenous person.

I am a White person.

I am Chicano/Chicana or Latino/Latina.

I am an Asian American, Native Hawaiian or Pacific Islander person.

Other.

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Capital Metropolitan Transportation Authority Survey

Question title

* Please check all that apply.

I am a woman.

I am a man.

I am a gender nonconforming person.

I am an LGBTQ+ person.

I am a person living with a disability or differently abled person.

Confirm your selection

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Capital Metropolitan Transportation Authority Survey

Question title

* Please check all that apply.

My individual income is less than $43,043 in one year.

My household's income is less than $71,576 in one year.

None of the above.

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Capital Metropolitan Transportation Authority Survey

Question title

* Please select all that apply to you.

I have dependents who are children in my household.

I do not have a personal vehicle as an option available to me; I depend on public transit for my transportation needs.

I am a person experiencing homelessness.

None of the above.

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Capital Metropolitan Transportation Authority Survey

Question title

How often do you ride public transit?

Daily

Weekly

Monthly

Rarely

Never

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