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THT Case Study Questionnaire
1.
Contact Name
2.
Organization Name
3.
Email
4.
Name of Project or Initiative
5.
Please describe how you have used the THT or how you plan to use it in your work on this project or initiative(s)
6.
Please identify the applicable project type(s). (select all that apply)
Comprehensive Plan
Corridor Plan
Small Area Plan
Community Health Improvement/Action Plan
Long Range Transportation Plan
Feasibility Study
Environmental study (NEPA/SEPA)
Roadway/highway project
Complete Streets project
Safe Routes to Schools project
Greenway or trail
Other bicycle/pedestrian project
Other (please specify)
7.
Which of the following best describes the scale of your project/initiative? (select one)
Small scale/project limits
Neighborhood
Community
Municipal/town
Regional/Metropolitan Statistical Area
Statewide
Other (please specify)
8.
Who is the lead agency on your project/initiative? (select one)
State Department of Transportation
Metropolitan Planning Organization
Transit agency
Local government unit (transportation, planning)
Other (please specify)
9.
What partner organizations/agencies have been or will be involved with your initiative?
10.
Please identify which of the 14 indicators provided to you in the email pertain to your project/initiative. (select all that apply)
Alcohol-Impaired Fatalities
Commute Mode Shares
Complete Streets Policies
Housing and Transportation Affordability (metro area level only)
Land Use Mix (metro area level only)
Person Miles Traveled by Mode (state level only)
Physical Activity from Transportation (state level only)
Proximity to Major Roadways
Public Transportation Trips per Capita (state and urbanized area level)
Road Traffic Fatalities by Mode
Road Traffic Fatalities Exposure Rate
Seat Belt Use (state level only)
Use of Federal Funds for Bicycle and Pedestrian Efforts (state level only)
Vehicle Miles Traveled (VMT) per Capita (state and urbanized area level)
11.
How was the THT and/or the indicators you identified useful to your project/initiative?
12.
Transportation affects health through several key pathways. Please identify which of the following pathways pertain to your project/initiative: (select all that apply)
Access (to medical services, healthy foods, health and recreation opportunities, support networks, etc.)
Air quality (emissions, asthma, etc.)
Safety (related to transportation for drivers, pedestrians, bicyclists, etc.)
Active Transportation (opportunities for physical activity through transportation – walking, biking)
Equity
13.
In what ways is your organization/agency working to integrate health into transportation planning? (Select all that apply)
Integrating health into organizational policies
Including health in transportation planning goals
Evaluating health impacts of plans and/or projects
Conducting formal Health Impact Assessments
Implementing other specific tools and data to assess health impacts from transportation
Assigning dedicated staff to evaluate health impacts from transportation
Collaborating with other agencies on health initiatives (County health departments, state health officials, others)
Other (please specify)
14.
How do you or your organization address equity in your work?
15.
How supportive is your organization of future/ongoing use of the THT? (select one)
Highly supportive
Somewhat supportive
Neutral
Not supportive
16.
Are there any other comments that you have regarding your project or initiative(s) or your organization’s transportation and health efforts?