Project 0158-0219 Voluntary Feedback Survey

Replacement of Bridge 04972 Green Farms over Sasco Brook in Westport

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* 1. Please rate the following aspects of the public informational meeting:

	Excellent	Good	Fair	Poor	Not Applicable
Date	Date Excellent	Date Good	Date Fair	Date Poor	Date Not Applicable
Time	Time Excellent	Time Good	Time Fair	Time Poor	Time Not Applicable
Closed Captioning Feature	Closed Captioning Feature Excellent	Closed Captioning Feature Good	Closed Captioning Feature Fair	Closed Captioning Feature Poor	Closed Captioning Feature Not Applicable
Ability to Submit Comments/Ask Questions	Ability to Submit Comments/Ask Questions Excellent	Ability to Submit Comments/Ask Questions Good	Ability to Submit Comments/Ask Questions Fair	Ability to Submit Comments/Ask Questions Poor	Ability to Submit Comments/Ask Questions Not Applicable
Presentation	Presentation Excellent	Presentation Good	Presentation Fair	Presentation Poor	Presentation Not Applicable
Sound	Sound Excellent	Sound Good	Sound Fair	Sound Poor	Sound Not Applicable
Video	Video Excellent	Video Good	Video Fair	Video Poor	Video Not Applicable

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* 2. Was there enough detail provided in the presentation?

Yes

If no, please specify

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* 3. Were you satisfied with how the meeting was conducted?

Yes

If no, please specify

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* 4. How did you hear about the meeting?

Newspaper

City/Town Website

CTDOT Direct Mailing

CTDOT Website

CTDOT Email

Community or Faith Based Organization

Social Media

Family/Friend

Other (please specify)

The following questions are voluntary. We're asking these questions because we strive to conduct the most inclusive and representative outreach possible. Your responses are anonymous and will be used strictly to achieve this goal.

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* 5. Are you of Hispanic, Latino, or Spanish origin?

Yes

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* 6. How would you best describe yourself?

American Indian or Alaskan Native

Asian

Black or African American

Middle Eastern or North African

Native Hawaiian or Other Pacific Islander

Two or More Races

White

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* 7. What is your primary spoken language?

English

Spanish

Other (please specify)

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* 8. What is your approximate household income?

Less than $12,500

$12,501 - $30,000

$30,001 - $50,000

$50,001 - $80,000

More than $80,001

I do not know

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* 9. What is the size your household?

One

Two

Three

Four

More than four