2018 PT-HSTCP Provider Survey Question Title * 1. Agency and Contact Information Name Company Address Address 2 City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Country Email Address Phone Number OK Question Title * 2. Does your agency have any digital files of your service area and/or client location? Yes No OK Question Title * 3. Please describe the geographic area your agency serves. OK Question Title * 4. Which option best describes your organization? Public Transit Provider Government Human Services Agency Private Non-Profit Human Service Agency Private Non-Profit Transportation Provider Private For-Profit Provider Other (please specify) OK Question Title * 5. Who is eligible for transportation services with your agency (check all that apply)? Elderly (60+) Non-Disabled Elderly (60+) Disabled Non-Elderly Disabled Low Income Youth (18 and under) General Public Other (please specify) OK Question Title * 6. How many Elderly (60+) Non-Disabled clients does your agency serve with transportation: Daily Average Weekly Average Peak Low OK Question Title * 7. How many Elderly (60+) Disabled clients does your agency serve with transportation: Daily Average Weekly Average Peak Low OK Question Title * 8. How many Non-Elderly Disabled clients does your agency serve with transportation: Daily Average Weekly Average Peak Low OK Question Title * 9. How many Low Income clients does your agency serve with transportation: Daily Average Weekly Average Peak Low OK Question Title * 10. How many Youth (18 and under) clients does your agency serve with transportation: Daily Average Weekly Average Peak Low OK Question Title * 11. How many General Public clients does your agency serve with transportation: Daily Average Weekly Average Peak Low OK Question Title * 12. What type of service does your agency provide (check all that apply)? Fixed Route Demand Response Both Fixed Route & Demand Response Route Deviation Other (please specify) OK Question Title * 13. Does your agency provide contract transit service? Yes-Fixed Route Yes-Demand Response No OK Question Title * 14. Do you contract your transportation services to a third-party? Yes No OK Question Title * 15. If "Yes," what percentage is contracted out? OK Question Title * 16. If "Yes," who is your contracted provider? OK Question Title * 17. Does your agency coordinate with any other transit providers? Yes No OK Question Title * 18. If "Yes," please list the agencies you coordinate with. OK Question Title * 19. On which days of the week do you typically provide transit service (check all that apply)? Sunday Monday Tuesday Wednesday Thursday Friday Saturday OK Question Title * 20. What are your typical hours of operation? Sunday Monday Tuesday Wednesday Thursday Friday Saturday OK Question Title * 21. How many weeks per year do you typically provide transit service? OK Question Title * 22. How many of each vehicle type do you typically operate? Cars Trucks Vans Buses OK Question Title * 23. What is the passenger capacity of each vehicle type you typically operate? Cars Trucks Vans Buses OK Question Title * 24. What is the average age of each vehicle type you typically operate? Cars Trucks Vans Buses OK Question Title * 25. Please provide your agency's annual passenger transportation costs for fixed-route and demand-response services. Use your agency's most current fiscal year information. Fiscal Year Annual operating budget Annual capital expenditure budget OK Question Title * 26. Please provide your agency's annual transportation revenues by fiscal year. Fares Donations FTA 5310 (elderly and disabled) FTA 5316 (Job Access And Reverse Commute) FTA 5317 (New Freedom) Other (provide name) Other (provide name) Other (provide name) OK Question Title * 27. What are the major transportation needs of your agency in the next 5 years? OK Question Title * 28. What are the major transportation needs of your agency in the long-term (6-20 years)? OK DONE