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I-105 ExpressLanes Equity Assessment: Travel Survey - English
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1.
What is the origin of your typical trip (from home to work/school, etc.)? Please provide a zip code.
(Required.)
Enter zip code for origin:
If unsure of the zip code for origin, please provide the city or neighborhood:
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2.
What is the destination of your typical trip? (From home to work/school, etc.) Please provide a zip code.
(Required.)
Enter zip code for destination:
If unsure of the zip code for destination, please provide the city or neighborhood:
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3.
Do you use the I-105 freeway for any part of your typical trip?
(Required.)
Yes
No
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4.
What is the purpose of your typical trip?
(Required.)
Work
School Commute
Access to Healthcare
Los Angeles International Airport
Visiting Friends/Family
Leisure (e.g., recreation, entertainment)
Errands
Professional driving (e.g., Uber, Lyft, delivery)
Other (please specify)
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5.
What modes of transportation do you typically use?
(Required.)
Bus Transit
Metro Rail/Subway
Commuter Rail (e.g., Metrolink or Amtrak)
Car/Vehicle
Walking
Cycling/Rolling
Rideshare
Microtransit, Paratransit (Metro Micro, Access Services)
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6.
Do you have access to a reliable car/vehicle to make your trip?
(Required.)
Yes
No
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7.
How many days a week do you usually ride public transportation?
(Required.)
Less than 1 day
1 - 2 days
3 - 4 days
5 days or more
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8.
Have you used the ExpressLanes on the I-10 or I-110 freeways before?
(Required.)
Yes
No
9.
What is your household’s total annual income?
Under $9,999
$10,000 - $49,999
$50,000 - $99,999
$100,000 - $149,000
$150,000 or more
10.
What is your age?
Under 18
18-24
25-34
35-49
50-64
65+
11.
What is your gender identity?
Male
Female
Non-binary
Prefer to self-describe
12.
Are you?
Hispanic/Latino
Black/African American
White/Caucasian
Asian
Pacific Islander
Native American or Alaska Native
Other (please specify)
13.
What is the primary language spoken at home?
English
Spanish
Other (please specify)
14.
For a chance to win a $25 gift card, what is your email or phone/cell number?
Name
Email
Phone
