Your Name:
Phone Number:
Email Address:
Would you like to be contacted regarding this survey?    Yes    No
Are you a NHDOT Employee?    Yes    No

Town:
Road/Highway Name & Direction:
Nearest Intersection:
Date Traveled:
Time: AM PM

1. Did you have enough warning before entering this work zone?
   Yes     No 

2. Did the signs provide clear instructions?
   Yes     No 

3. Did the cones, barrels, or striping guide you through the work zone?   
   Yes     No     None Present 

4. Did you make it through the work zone in a timely manner? 
   Yes     No 

     If no, please explain:  (2000 characters max)
      

5. Were you able to travel safely in the work zone?
    Yes     No 

      If no, please explain:   (2000 characters max)
      

How did you learn of our survey:
NH DOT Website
Media
Work Zone Message Sign
Provided by NH DOT Staff
Received by Mail
Other
       If other, please explain:     

 (2000 characters max)