Municipality of Anchorage HST Coordinated Study Transportation Resource Survey

1. Organization Characteristics and Services Provided

Instructions to Survey Respondent – The Safe, Accountable, Flexible, Efficient Transportation Act, a Legacy for Users (SAFETEA-LU) was enacted in August 2005 and provides guaranteed funding for Federal surface transportation programs through FY 2009. SAFETEA-LU requires the establishment of a locally-developed, public transit – human services transportation coordination plan (HSTC) in order for an applicant to access three specific funding programs; Section 5310 Elderly and Individuals with Disabilities, Section 5316 Job Access Reverse Commute (JARC), and Section 5317 New Freedom. In response to this requirement, the Municipality of Anchorage, Transportation Planning Division of the Municipal Traffic Engineering Department, is embarking on a thorough planning process to update the 2007-2008 Human Services Transportation Coordination Plan and identify strategies that encourage more efficient use of available service providers that bring enhanced mobility to older adults, individuals with disabilities, people with low incomes, and the general public.

As part of this planning process, we must develop current and complete inventories of transportation services available throughout our community. Please complete the following survey to the best of your ability. If you have any questions regarding this survey, please contact Todd Lenz via email at tlenz@rlsandassoc.com, or via telephone at (937) 299-5007.

Question Title

1. Identification of Organization

Respondent's Name

Name of Lead Transportation Person (if different than respondent)

Organization

Street Address

City

State

ZIP

Work Phone

Fax

Respondent's Email Address

Respondent's Website Address

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2. Your agency is a (check only one of the following):

Governmental body

Private nonprofit organization

Public nonprofit organization

Private, for-profit business

Tribal government

Other (please specify)

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3. Please check each of the items below which most closely characterize the population(s) served by your organization.

Older adults (program consumers/clients only)

Older adults (general public)

Individuals with disabilities (program consumers/clients only)

Individuals with disabilities (general public)

People with low incomes

Students (pre-school, Head Start)

Students (K-12, college, university)

General public (no age, income, or other eligibility requirements)

At-risk youth

Veterans

Visitors

Other (please specify)

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4. Please describe your organization's primary mission and its goals.

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5. Does your agency contribute any resources to provide transportation directly or indirectly for your consumers?

Yes

No (Skip to Question 10)

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6. How does your agency provide for its transportation needs?

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7. Please choose the following items that BEST characterize the transportation services:

Transportation service is provided on a set route and schedule.

Transportation service is provided on a response to individual or group travel requests.

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8. Do you charge a fare?

Yes

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9. How many individuals do you provide daily transportation for?

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10. A trip is defined as a single one-way transportation for one person. How many trips do you provide in a typical year by land? Please enter a positive number with no formatting (no commas, decimal points, etc.)

Yearly One-way Trips

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11. If funding were available: Please enter positive numbers with no formatting (no commas, decimal points, etc.)

How many individuals could you serve?

How many one-way trips could you provide?

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12. Please list the number of transportation-related personnel from the following list at your agency/organization. Please enter positive numbers with no formatting (no commas, decimal points, etc.)

Clerical staff

Drivers

Maintenance crew

Dispatchers/schedulers

Other

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13. How many volunteers at your agency do transportation-related tasks?

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14. What sort of tasks do your volunteers typically perform (i.e. driving, clerical duties)?

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15. Do your staff members use personal vehicles to provide transportation for the agency's consumers/clients?

Yes

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16. Total Number of Vehicles

Sedans

Station wagons

Minivans

Standard 15-passenger vans

Light-duty bus (body-on-chassis type construction seating between 16-24 passengers)

Medium-duty bus (body-on-chassis type construction seating over 22 passengers with dual real wheel axle)

School bus (yellow school bus seating between 25 and 60 students)

Medium- or heavy-duty transit bus

Other (Describe)

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17. Number of Vehicles with Wheelchair Tiedowns

Sedans

Station wagons

Minivans

Standard 15-passenger vans

Light-duty bus (body-on-chassis type construction seating between 16-24 passengers)

Medium-duty bus (body-on-chassis type construction seating over 22 passengers with dual real wheel axle)

School bus (yellow school bus seating between 25 and 60 students)

Medium- or heavy-duty transit bus

Other (Describe)

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18. Year Purchased (please just list the number of vehicles and year purchased for each, i.e. "1 in 2000, 2 in 2002, 4 in 2006")

Sedans

Station wagons

Minivans

Standard 15-passenger vans

Light-duty bus (body-on-chassis type construction seating between 16-24 passengers)

Medium-duty bus (body-on-chassis type construction seating over 22 passengers with dual real wheel axle)

School bus (yellow school bus seating between 25 and 60 students)

Medium- or heavy-duty transit bus

Other (Describe)

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19. Define the level of passenger assistance provided for users of your transportation service. (Select any of the following options that apply)

Curb-to-curb (i.e., drivers will assist passengers in and out of vehicle only).

Door-to-door (i.e., drivers will assist passengers to the entrance of their origin or destination).

Drivers are permitted to assist passengers with a limited number of packages.

Drivers are permitted to assist passengers with an unlimited number of packages.

We provide personal care attendants or escorts to those passengers who require such services.

Passengers are permitted to travel with their own personal care attendants or escorts.

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20. What are the daily hours and days of operation for your transportation services?

	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday
Time transportation service begins:	Time transportation service begins: Monday menu	Time transportation service begins: Tuesday menu	Time transportation service begins: Wednesday menu	Time transportation service begins: Thursday menu	Time transportation service begins: Friday menu	Time transportation service begins: Saturday menu	Time transportation service begins: Sunday menu
Time transportation service ends:	Time transportation service ends: Monday menu	Time transportation service ends: Tuesday menu	Time transportation service ends: Wednesday menu	Time transportation service ends: Thursday menu	Time transportation service ends: Friday menu	Time transportation service ends: Saturday menu	Time transportation service ends: Sunday menu

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21. How do clients/customers access your transportation services? (Choose one of the following options)

There are no advance reservation requirements.

Clients/customers must make an advance reservation (e.g., by telephone, facsimile internet, arrangement through a third party, etc).

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22. Please indicate the number of passenger trips your agency purchased from other public or private operators between January 1 and December 31, 2007. Please enter positive numbers with no formatting (no commas, decimal points, etc.)

Salvation Army

AnchorRIDES

Taxi

People Mover

Other

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23. What are the beginning and ending dates of your organization's fiscal year?

Beginning

Date

Ending

Date

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24. What is your annual budget for transportation services? Please enter a positive number with no formatting (no commas, decimal points, etc.)

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25. Please check the items included in your transportation budget (select all that apply):

Personnel

Depreciation

Fuel

Overhead/indirect costs

Insurance

Maintenance

Other (please specify)

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26. What are your transportation OPERATING revenues? Please enter positive numbers with no formatting (no commas, decimal points, etc.)

Fares collected from passengers through cash, or tickets/tokens purchased by passengers (include client fees and/or general public fares here)

Revenues Collected From Vouchers purchased by Third Parties

Donations

Local government appropriations

State government appropriations

Federal grants directly received by organization (specify)

State grants directly received by organization (specify)

Local grants directly received by organization (specify)

Private charitable foundation (specify)

Choice Medicaid AP (adults with physical disabilities)

Choice Medicaid DM (individuals with developmental disabilities)

Choice Medicaid OA (older alaskans)

United Way

Fundraising

Other (list)

Total Transportation Revenues

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27. What are your transportation operating and capital expenses? Please enter positive numbers with no formatting (no commas, decimal points, etc.)

Transportation Administration

Transportation Operations

Transportation Maintenance

Total Operating Expenses

Transportation Capital Expenses

Total Transportation Operating and Capital Expenses

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* 1. Identification of Organization

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* 2. Your agency is a (check only one of the following):

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* 3. Please check each of the items below which most closely characterize the population(s) served by your organization.

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* 4. Please describe your organization's primary mission and its goals.

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* 5. Does your agency contribute any resources to provide transportation directly or indirectly for your consumers?

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* 6. How does your agency provide for its transportation needs?

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* 7. Please choose the following items that BEST characterize the transportation services:

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* 8. Do you charge a fare?

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* 9. How many individuals do you provide daily transportation for?

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* 10. A trip is defined as a single one-way transportation for one person. How many trips do you provide in a typical year by land? Please enter a positive number with no formatting (no commas, decimal points, etc.)

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* 11. If funding were available: Please enter positive numbers with no formatting (no commas, decimal points, etc.)

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* 12. Please list the number of transportation-related personnel from the following list at your agency/organization. Please enter positive numbers with no formatting (no commas, decimal points, etc.)

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* 13. How many volunteers at your agency do transportation-related tasks?

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* 14. What sort of tasks do your volunteers typically perform (i.e. driving, clerical duties)?

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* 15. Do your staff members use personal vehicles to provide transportation for the agency's consumers/clients?

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* 16. Total Number of Vehicles

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* 17. Number of Vehicles with Wheelchair Tiedowns

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* 18. Year Purchased (please just list the number of vehicles and year purchased for each, i.e. "1 in 2000, 2 in 2002, 4 in 2006")

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* 19. Define the level of passenger assistance provided for users of your transportation service. (Select any of the following options that apply)

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* 20. What are the daily hours and days of operation for your transportation services?

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* 21. How do clients/customers access your transportation services? (Choose one of the following options)

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* 22. Please indicate the number of passenger trips your agency purchased from other public or private operators between January 1 and December 31, 2007. Please enter positive numbers with no formatting (no commas, decimal points, etc.)

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* 23. What are the beginning and ending dates of your organization's fiscal year?

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* 24. What is your annual budget for transportation services? Please enter a positive number with no formatting (no commas, decimal points, etc.)

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* 25. Please check the items included in your transportation budget (select all that apply):

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* 26. What are your transportation OPERATING revenues? Please enter positive numbers with no formatting (no commas, decimal points, etc.)

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* 27. What are your transportation operating and capital expenses? Please enter positive numbers with no formatting (no commas, decimal points, etc.)

1. Identification of Organization

2. Your agency is a (check only one of the following):

3. Please check each of the items below which most closely characterize the population(s) served by your organization.

4. Please describe your organization's primary mission and its goals.

5. Does your agency contribute any resources to provide transportation directly or indirectly for your consumers?

6. How does your agency provide for its transportation needs?

7. Please choose the following items that BEST characterize the transportation services:

8. Do you charge a fare?

9. How many individuals do you provide daily transportation for?

10. A trip is defined as a single one-way transportation for one person. How many trips do you provide in a typical year by land? Please enter a positive number with no formatting (no commas, decimal points, etc.)

11. If funding were available: Please enter positive numbers with no formatting (no commas, decimal points, etc.)

12. Please list the number of transportation-related personnel from the following list at your agency/organization. Please enter positive numbers with no formatting (no commas, decimal points, etc.)

13. How many volunteers at your agency do transportation-related tasks?

14. What sort of tasks do your volunteers typically perform (i.e. driving, clerical duties)?

15. Do your staff members use personal vehicles to provide transportation for the agency's consumers/clients?

16. Total Number of Vehicles

17. Number of Vehicles with Wheelchair Tiedowns

18. Year Purchased (please just list the number of vehicles and year purchased for each, i.e. "1 in 2000, 2 in 2002, 4 in 2006")

19. Define the level of passenger assistance provided for users of your transportation service. (Select any of the following options that apply)

20. What are the daily hours and days of operation for your transportation services?

21. How do clients/customers access your transportation services? (Choose one of the following options)

22. Please indicate the number of passenger trips your agency purchased from other public or private operators between January 1 and December 31, 2007. Please enter positive numbers with no formatting (no commas, decimal points, etc.)

23. What are the beginning and ending dates of your organization's fiscal year?

24. What is your annual budget for transportation services? Please enter a positive number with no formatting (no commas, decimal points, etc.)

25. Please check the items included in your transportation budget (select all that apply):

26. What are your transportation OPERATING revenues? Please enter positive numbers with no formatting (no commas, decimal points, etc.)

27. What are your transportation operating and capital expenses? Please enter positive numbers with no formatting (no commas, decimal points, etc.)