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Mail SurveySection C Transportation Use Section

Mail Survey
Section C
Transportation Use Section

This section of the questionnaire is about your transportation use.

7. (C2) On average, about how many days per week do you leave your home for any reason?

Number of days per week - |__|

Please enter "0" (zero) if you never leave home.

8. (C7) What kinds of specialized assistance or equipment do you need to travel outside the home?

Even if you never leave home, please enter the type of assistance or equipment that would be needed to do so.

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9. (C9) What kinds of difficulties do you have in getting the transportation you need?

Even if you never leave home, please enter the difficulties you would have in getting the needed transportation.

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