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The lack of suitable tools to assess sustainable mobility measures' costs, benefits and overall impacts is a significant factor impeding their implementation. Cost-benefit analysis (CBA) is often applied to large-scale infrastructure projects, but does not capture all relevant socio-economic impacts. Small-scale but potentially highly cost-effective measures often do not have the critical mass to warrant a thorough cost-benefit analysis. This paper reviews existing assessment methodologies, including their advantages, limitations and application to different urban mobility measures, and current assessment practice in cities based on survey results. Based on these analyses, a holistic approach for project appraisal is proposed, consisting of aspects of a multi-criteria analysis (MCA) and CBA and applicable to a variety of urban mobility measures.