*1.What is your address (street number and street name)(Required.)

2.What are your concerns regarding traffic on your street (select all that apply)

Number of vehicles

Speed of vehicles

Pedestrian safety

Bicyclists safety

Intersection safety

On-street parking

I have no concerns

Other (please specify)

*3.Which traffic calming measures would you like implemented (See the Traffic Calming Toolbox starting on page 72 of the Friendly Neighborhood Streets Program.)(Required.)

Choke point

Mini traffic circle

Median islands

Curb extensions

Bike facilities

Chicane

Speed feedback signs

Other (please specify)

4.Provide any additional comments