Organization

Please provide the following information regarding your organization.

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* 1. Organization Information

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* 2. Please describe the geographic area you serve.

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* 3. What type of agency is your organization?

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* 4. Which clients does your agency provide service? (Check all that apply)

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* 5. What age group are your services designed for? (Check all that apply)

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* 6. Does your agency serve people with mobility limitations? (Mobility limitations are physical, mental, or other conditions that limit their ability or cause difficulty in getting to places they need or want to go)

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* 7. Please identify the types of mobility limitations: (check all that apply)

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* 8. Which days per week do you regularly need transit services? (Check all that apply)

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* 9. What hours of the day do your clients need access to transportation services? Please indicate using AM and PM -i.e. 9:30AM

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* 10. How many weeks per year do your clients regularly need transit service?

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i We adjusted the number you entered based on the slider’s scale.

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* 12. Which of the following transportation methods do your participants use to access your services? (Check all that apply)

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* 13. Does your agency coordinate with any transit providers?

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* 14. If so, please describe those coordination activities and with which agencies.

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* 15. Please rate the importance of the following service improvements for public transportation for seniors and people with disabilities in your community.

  Urgent Very Important Important Would be Nice Not Needed
Greater number of door-to-door rides
More fixed-route services
Service easier to use for seniors and people with disabilities
Longer hours of operation
More days of operation
More reliable service
Vehicles in better condition
Lower fares
Easier trip scheduling over the phone
Printed schedules easier to read and understand
More reliable on-time pickups
More reliable drop-offs
Easier to identify vehicles
Better/easier wheelchair securements within the vehicles
Better/more convenient connections with other transit services

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* 16. Listed below are a number of possible strategies for improving the coordination among transportation providers. Please indicate your level of interest in each of these strategies by checking the appropriate box.

  Interested Possible Interest Not Interested Not Applicable
Providing transportation services, or more transportation services, under contract to another agency or agencies.
Purchasing transportation services from another organization, assuming that the price and quality of services met your needs.
Coordinating schedules and vehicle operation with nearby transit providers so that riders can transfer from one serve to another
Joining together with another municipality or agency to consolidate the operation of transportation services
Joining together with another municipality or agency to consolodate the purchase (or contracting) of transportation services.
Highlighting connections to other fixed-route or demand-responsive services on your schedules or other information materials
Adjusting hours or frequency of service
Coordinating activities such as procurement, training, vehicle maintenance, and public information with other providers
Participating in an organized area-wide transportation marketing program

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* 17. What are the major transportation needs of your agency in the short term (1 to 6 years)?

Please list specific projects. Some examples include the following: Replacement of 4 large buses ata cost of $250,000 each; 2 minibuses at $50,000 each; New Service to the shopping mall with 30 minute headways at a cost of $5000,000 annually; 1-day per week demand-response service to the elderly apartments at a cost of $20,000 annually; 4 new bus shelters at $1,000 each; New schedules printed, estimates cost with labor and materials $5,000; Hire 1 dispatcher at $18,000 annually. Please list in order of importance.

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* 18. What do you see as the major unmet transportation needs in the Pioneer Trails area within the next 5 to 10 years? (Counties of Johnson, Lafayette, Pettis, Saline)

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