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.

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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?

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

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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?

Date
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):

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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.)

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