Webform Full Name: Information MoDOT strives to provide excellent customer service. If you wish to be contacted with regards to any comments/questions you provide with this survey, please submit your phone number and/or email allowing a staff member to respond. Phone: Email: Are you a MoDOT Employee? Yes No County: If county is unknown, select "Unknown..." from the list. It appears as the last selection in the list. County: - None -AdairAndrewAtchisonAudrainBarryBartonBatesBentonBollingerBooneBuchananButlerCaldwellCallawayCamdenCape GirardeauCarrollCarterCassCedarCharitonChristianClarkClayClintonColeCooperCrawfordDadeDallasDaviessDeKalbDentDouglasDunklinFranklinGasconadeGentryGreeneGrundyHarrisonHenryHickoryHoltHowardHowellIronJacksonJasperJeffersonJohnsonKnoxLacledeLafayetteLawrenceLewisLincolnLinnLivingstonMaconMadisonMariesMarionMcDonaldMercerMillerMississippiMoniteauMonroeMontgomeryMorganNew MadridNewtonNodawayOregonOsageOzarkPemiscotPerryPettisPhelpsPikePlattePolkPulaskiPutnamRallsRandolphRayReynoldsRipleySalineSchuylerScotlandScottShannonShelbySt. CharlesSt. ClairSt. FrancoisSt. GenevieveSt. LouisSt. Louis CityStoddardStoneSullivanTaneyTexasVernonWarrenWashingtonWayneWebsterWorthWrightUnknown… Enter other… Road/Highway Name & Direction: Nearest Intersection: Date and Time Traveled: Date and Time Traveled:: Date Date and Time Traveled:: Time 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 4. Did you make it through the work zone in a timely manner? Yes No If No, please explain: If No, please explain: 5. Were you able to travel safely in the work zone? Yes No If No, please explain: Please share with us any additional comments: Weather Conditions: Clear Cloudy Rain Snow Ice Windy Vehicle: Car/Truck Recreational Commercial How did you learn of our survey? MoDOT Website Media Work Zone Message Sign Provided by MoDOT Staff/Flagger Received by Mail Other… Enter other… If other, please explain: CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Leave this field blank
