Question Title

* 1. Please provide information about you and your organization.

Question Title

* 2. Please select your agency type.

Question Title

* 3. Of the clients you have contact with most often through your agency, what is the primary purpose of that contact? Select only one.

Question Title

* 4. In what County is your organization located? Select only one.

Question Title

* 5. What Counties comprise your service area? Check all that apply.

Question Title

* 6. How many clients does your organization assist annually?

Question Title

* 7. Please indicate the kind of transportation assistance your agency offers and estimate the number of clients served in each category.

Question Title

* 8. Please indicate the hours in which your agency provides services.

  Monday Tuesday Wednesday Thursday Friday Saturday Sunday
12 A.M - 6 A.M.
6 A.M - 8 A.M.
8 A.M. - 12 P.M.
12 P.M. - 3 P.M.
3 P.M - 6 P.M.
6 P.M. - 9 P.M.
9 P.M. - 12 A.M.

Question Title

* 9. Which best describes your advance reservation-for-transportation service? (Please check all that apply)

Question Title

* 10. On a weekly basis, about how many appointments are canceled?

Question Title

* 11. Do you document cancellations?

Question Title

* 12. Do your clients routinely have transportation needs that you cannot serve?

Question Title

* 13. Please rank the significance of the transportation issues listed below as they relate to access to jobs. (1 is the most significant issue, 2 is 2nd most significant issue, etc.)

  1. Cost: Regardless of transportation mode, many people cannot afford the cost of getting to and from the workplace.
  2. Lack of Service for Nontraditional Work Hours: The routes and/or schedules of public transit and other types of transportation
    services do not meet the needs of those workers whose workweek does not coincide with the traditional Monday-Friday schedule.
    (i.e.: swing shift, rotations, flex shift, etc.)
  3. Length of Commute: The distance between home and the workplace, combined with the number of transfers or connections to other
    modes of transportation, discourages workers from staying in any one job for very long.

Question Title

* 14. Please rank the significance of the transportation issues listed below as they relate to access for people with disabilities. (1 is the most significant issue, 2 is 2nd most significant issue, etc.)

  1. Safe Pedestrian Access: Weather conditions, long distances from transit stops/vehicles, deteriorating sidewalks, and busy intersections can create unsafe pedestrian pathways.
  2. Cost of Same Day Trip Scheduling: The lack of on demand and nighttime and weekend paratransit services in most counties along with advance trip scheduling requirements make it difficult to secure a ride, especially during emergency situations.
  3. Reliable On-Time Performance: Providers of paratransit services sometimes pickup and dropoff passengers early or late resulting in inconveniences such as long commute times and wait times.
  4. Uninformed Trip Decision Makers: Agencies responsible for approving paratransit trips do not understand that the transportation needs of people with disabilities are not ‘one size fits all.’

Question Title

* 15. Which of the following would be the best way to inform residents about your services? Check all that apply.

Question Title

* 16. Do the majority of your clients have reliable access to the internet?

Question Title

* 17. From what one general (or specific) area do the majority of your clients travel? Examples: town, county, neighborhood, etc.

Question Title

* 18. To what general (or specific) area do the majority of your clients travel? Examples: town, county, neighborhood, etc.

Question Title

* 19. To what extent does your agency coordinate any transportation services with other agencies in your area (e.g., share riders, joint training, pool insurance, etc.)? Please list the coordinating agencies.

Question Title

* 20. What other transportation issues or gaps, if any, are you aware of that were not covered in the previous questions? Please be specific in describing transportation needs in your service area that are not being adequately met, along with recommended solutions.