Independent Travel Questionnaire -

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1. Are you able to judge traffic audibly? When crossing streets, do you use your vision, hearing or both?

2. How do you determine traffic direction?

3. Do you travel and cross streets independently? If not, please explain.

4. How often do you walk outside independently?

5. On average, how many blocks do you walk independently every day?

6. How many blocks can you walk without stopping to rest?

7. Please describe how and when you use your cane.

8. If you get disoriented are you able to reorient to your environment? If so, how (eg: asking for help, using technology, listening to traffic and other cues, backtracking)?

9. Do you have routes that you walk regularly? If so, how long are they? Please describe them.

10. Do you use public transportation? If so, please describe.

11. Do you walk to conveniences such as markets, banks, shops, etc.? Please describe.

12. Do you use sidewalks in your daily travels? Do you walk on streets with no sidewalks?

13. Please describe with as much detail as possible what your daily use for a guide will be (e.g.: when and where do you expect to work your dog?)

Independent Travel Questionnaire

Please feel free to amplify and discuss your responses to these questions

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Independent Travel Questionnaire

Please feel free to amplify and discuss your responses to these questions

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