This is an outdated draft. The latest version is available at http://www.w3.org/WAI/demos/bad/.

Traffic information: city: Free. Interstate 7   sunny, 23°C   Mo, 24th Dec.2005 
 
 
   
  1. General Information
   
Where do you live ?
 
How many cars does your family own?
 
How many people live in your family?
   
  2. Habits
   
Please classify your favourite way of moving
Give a priority mark from 1 to 5 for each of the following
 
Car
Bus
Metro
Bicycle
Motto
Walking
1 2 3 4 5
If you own a car, for which reasons do you use it rather than public transports?
Please check either of the following proposals
 
Price of Public Transport
Traffic jam
Time Earning
Freedom
Security
Other reason not mentioned above
How long do you spend a month for each of the following means? 
  Never <1 Hour From 1 to 2 hours From 2 to 5 hours From 5 to 10 hours >10 hours
by car
by bus
by metro
 
  
 3. Traffic Perception  
  
Do you believe that car traffic is too high? 
Yes No  
To your opinion, acoustic disturbance due to traffic is ? 
Weak
Fairly weak
Bearable
Unbearable
Quite unbearable
  
   
Attention: Fields in red are required!
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