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32 APPENDIX A Survey Questionnaire NCHRP Project 20-5, Synthesis Topic 35-03 Crash Reporting and Processing This survey is part of the NCHRP Synthesis on Crash Reporting and Processing. We are hoping to collect detailed informa- tion on innovations in crash reporting specifically, and highway and traffic records information in general. In order to identify interesting projects for the synthesis, we are asking a short set of questions in the following pages. Based on your responses, we will determine who we will need to telephone for additional information. Please take a few minutes to complete the survey. If you do not know the answer to a question or it cannot be answered effec- tively for your situation, please indicate that in the space provided so that we know that you intended to leave that question unanswered. At the end of the survey there is a space for you to give us contact information. We would like to be able to follow up via phone and/or e-mail with you and any other key contact people you suggest to us. Thank you for your interest and assistance in completing this survey. 1. Please indicate whether your answers apply to: ___ an existing system already in place and functioning as described ___ a brand new system still being implemented ___ a vision for a planned system that will be implemented in the future 2. How long does it take (from the date of the crash) for a report to be entered into your crash records system? ___ Within 30 days ___ Within 90 days ___ Less than a year ___ Over a year 3. Are all crashes that meet the statewide reporting threshold entered into the system? ___Yes ___ No 4. How do you obtain data reports from the crash records system? How easy is this to do? ___ No user reports come out of the system itself ___ I have to submit requests to a trained data analyst or programmer ___ I can run my own canned (pre-defined) reports from the system ___ I can run my own ad hoc reports using the system's analytic tools 5. What other sources of safety data are linked to the system? ___ Roadway ___ Vehicle records ___ Driver records ___ Emergency medical services ___ Other: _______________________________________________________________________________________

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33 6. What location coding method(s) are used to pinpoint a crash? ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ 7. What percentage of all crashes is located reliably? ________% 8. How much did it cost to develop the crash records system? $__________ 9. How much does it cost to collect crash data and enter it into your system? _______________ don't know $______________ per crash, or $______________ total per year 10. What are some features and capabilities that you like about your system? ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ 11. If you could start your crash system over, what would you change about it? ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ 12. Do you know of anyone (statewide, regional, or local) that you think has a particularly good crash records system? If yes, who? ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ 13. What are the characteristics of the system in Question 12 that you particularly like? ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ Contact Information: Please tell us about yourself: Name: ______________________________________________________________________________________________ Title: _______________________________________________________________________________________________ Agency/office: _______________________________________________________________________________________ Address: ____________________________________________________________________________________________ ____________________________________________________________________________________________________ Phone: ______________________________________________________________________________________________ Fax: ________________________________________________________________________________________________ e-mail: ______________________________________________________________________________________________

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34 Is there anyone else we should follow up with? Name: ______________________________________________________________________________________________ Title: _______________________________________________________________________________________________ Agency/office: _______________________________________________________________________________________ Address: ____________________________________________________________________________________________ ____________________________________________________________________________________________________ Phone: ______________________________________________________________________________________________ Fax: ________________________________________________________________________________________________ e-mail: ______________________________________________________________________________________________ Name: ______________________________________________________________________________________________ Title: _______________________________________________________________________________________________ Agency/office: _______________________________________________________________________________________ Address: ____________________________________________________________________________________________ ____________________________________________________________________________________________________ Phone: ______________________________________________________________________________________________ Fax: ________________________________________________________________________________________________ e-mail: ______________________________________________________________________________________________ Thank you for your help. If you have any questions, please contact Barbara DeLucia at 979.696.3400 or bdelucia@data-nexus.com Fax (979.696.3404) or mail completed responses to: Data Nexus, Inc. P.O. Box 11770 College Station, TX 77842-1770