Improving ADA Complementary Paratransit Demand Estimation (2007)

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61 A P P E N D I X A Questionnaires

62 Improving ADA Complementary Paratransit Demand Estimation 1. Transit agency official name: 2. Name and contact information of the person submitting this form: 3. General Public Service Name (The name used to market general public transit service to the public. If there is more than one name, used for distinct services, give the name of the service that principally triggers the requirement for ADA complementary paratransit.): 4. ADA Paratransit Service Name: 5. Definition of fiscal year (e.g., July to June): 6. What was the most recent month and year in which your system denied any significant number of ADA paratransit trip requests? For purposes of this question, how did you define “significant number”? 7. In what month and year did you last have any other significant capacity constraints? What were they? (e.g. late trips, problems with telephone access, etc.) Comments about Section A: All of the information requested in Sections B – F should apply to your most recent complete fiscal year. Paratransit data should apply to trips within the ADA paratransit service area only. If you have been providing service without capacity constraints for more than one fiscal year, please repeat sections B – F for up to two previous fiscal years. Fiscal Year: 1. What was the fare structure for ADA paratransit trips?: 2. What was the total fare revenue for ADA paratransit service? Other (please describe): 3. How was the ADA paratransit service area defined? Exact boundaries of one or more cities or counties Boundaries of a transit district ¾-mile around transit routes 4. In which of the following ways can you provide us the exact boundaries of your ADA paratransit service area? GIS layer (this is by far the preferred method) Please e-mail to dkoffman@nelsonnygaard.com. List of cities, counties, etc. Please mail the list or attach as an e-mail with your response. Boundaries drawn on a map. Please mail the map or attach as an e-mail with your response. Comments about Section B: TRANSIT COOPERATIVE RESEARCH PROGRAM Project B-28 Improving ADA Complementary Paratransit Demand Estimation Questionnaire for Representative Transit Systems A. General Information B. Service Definition

Questionnaires 63 Fiscal Year: 1. Total ADA paratransit trips provided, including trips for attendants and companions: 2. Total ADA paratransit trips provided to ADA-certified riders: 3. Of the trips included in Item C1, how many were provided to enable riders to participate in programs sponsored by public and non-profit agencies? (Note: boxes will expand as you type.) Name of Agency Type of program: Trips: Name of Agency Type of program: Trips: Name of Agency Type of program: Trips: Name of Agency Type of program: Trips: 4. How many trips did you provide that were sponsored by human service agencies and that are not considered part of your ADA paratransit service (for example trips you provided as a transportation coordinator or broker)? Name of Agency Type of program: Trips: Name of Agency Type of program: Trips: Name of Agency Type of program: Trips: Name of Agency Type of program: Trips: 5. How many other non-ADA paratransit trips did you provide within the ADA paratransit service area? Subsidized taxi trips not included in C1: Paratransit or dial-a-ride trips for seniors (eligibility based on age, not ADA eligibility): Other Non-ADA trips not listed before: Please describe: Comments about Section C: Fiscal Year: 1. What percentage of ADA paratransit trips were served on-time? 2. How did you define “on-time” for D1? 3. How much could a window or scheduled pick-up time be changed before the rider must be notified? 4. If the definition in D2 concerned only pick-up times, did you track on-time drop-offs? Yes No If “yes,” what percent of ADA paratransit trips had on-time drop-offs? How do you define “on-time” drop-offs? 5. What was the average time on hold to make an ADA paratransit reservation (in minutes and seconds)? Comments about Section D: C. Trips Provided D. Service Quality Indicators

64 Improving ADA Complementary Paratransit Demand Estimation Fiscal Year: 1. What percentage of new applicants for ADA paratransit (excluding applicants for re-certification) were interviewed or tested in person (face to face)? 2. What percentage of new applicants for ADA paratransit were found: Fully eligible for ADA paratransit (eligible for all trips) Conditionally eligible for ADA paratransit (eligible for some trips) Not eligible for ADA paratransit (denied) 3. Did you conduct trip-by-trip eligibility screening for people with conditional eligibility? Comments about Section E: Fiscal Year: 1. How many revenue vehicle miles of fixed-route transit service did you operate, as reported to the National Transit Database? 2. Using NTD definitions, please provide: Active fleet (bus and rail vehicles operated in annual maximum service): Number of these vehicles that were ADA accessible with lifts or ramps: 3. Did you track boardings by riders using wheelchairs? Yes No If you do, how many were there? Comments about Section F: E. Eligibility Process F. Fixed-Route Transit Service

Questionnaires 65 TCRP is interested in determining whether paratransit systems have data available that could be used in a future project for a more detailed analysis of travel behavior by people with disabilities. You can help determine the feasibility of such an analysis by answering the following questions 1. What scheduling software do you use? 2. Does it record the latitude and longitude of each pick up and drop off? Yes No 3. How far back do you retain data about trips scheduled with this system? 4. What information about individual paratransit riders do you keep on file? Age Yes No Sex Yes No Car ownership Yes No Mobility aids used Yes No Type(s) of disability Yes No 5. In the past few years, have you conducted a survey of paratransit riders (e.g., a travel diary survey) that included all or most of the following? • Exact numbers of trips taken on various modes—on paratransit, as a passenger in a car, as a driver, and by transit—in some specified period • The location of the origin and destination of each trip • The purpose of each trip • Household income • Car ownership No Yes, with all of these items Yes, but only with some of them. Which ones were included? 6. Has your agency or another agency in your area conducted a similar survey that would include this same type of information for people with disabilities regardless of whether they are currently registered to use ADA paratransit? No Yes. Which agency? Not sure. Can you suggest who to contact on this question? Comments about Section G: G. Data for Disaggregate Analysis Thank you for providing this information. Please return the form by e-mail (preferred) or as hard copy. If you are able to provide data about previous fiscal years, please complete a separate form for each fiscal year.

66 Improving ADA Complementary Paratransit Demand Estimation TCRP Project B-28, Improving ADA Paratransit Demand Estimation Supplementary Questionnaire No. 1 1. Human Service Transportation Thinking of human service agencies in your ADA paratransit service area, to the best of your knowledge, what portion of the transportation needed by their clients to agency programs or services do the agencies provide or pay for? To clarify: • A human service agency that provides none (0%) of the client transportation needed to the agency’s programs or services would be one that depends entirely on other programs (including your ADA paratransit system) or the clients themselves to provide transportation. • A human service agency that provides 100% of the client transportation needed to the agency’s programs or services would be one that assumes full responsibility for client transportation by operating its own vehicles for this purpose, contracting for transportation, reimbursing clients for their transportation, providing vouchers to clients, participating in a brokerage, or paying you to provide trips for their clients to agency programs (or some combination of these). If the State provides for client transportation that would count as well. To the best of your knowledge, please estimate the portion of client transportation provided by human service agencies in your area: Type of Human Service Agency What portion of needed client transportation do they provide? Don’t Know 100%75%50%25%0% Developmental disabilities / mental retardation Adult day care / adult day health care Senior nutrition (congregate meals) Dialysis Medicaid (other than dialysis) Other: Comments: 2. Non-ADA Paratransit In the area served by your ADA paratransit program, is there any other significant publicly funded paratransit service or taxi subsidy program (not limited to client transportation) that serves... Seniors (regardless of disability)? Yes No People with disabilities? Yes No Low income people? Yes No General public (Dial-a-Ride)? Yes No Note: Do not include non-ADA services operated by your agency that you have already told us about. Comments:

Questionnaires 67 TCRP Project B-28, Improving ADA Paratransit Demand Estimation Supplementary Questionnaire No. 1 – State/Regional Contacts Human Service Transportation Thinking of human service agencies in the area described by the cover memo, to the best of your knowledge, what portion of the transportation needed by their clients to agency programs or services do the agencies provide or pay for? To clarify: • A human service agency that provides none (0%) of the client transportation needed to the agency’s programs or services would be one that depends entirely on other programs (including the ADA paratransit system) or the clients themselves to provide transportation. • A human service agency that provides 100% of the client transportation needed to the agency’s programs or services would be one that assumes full responsibility for client transportation by operating its own vehicles for this purpose, contracting for transportation, reimbursing clients for their transportation, providing vouchers to clients, participating in a brokerage, or paying the ADA system its full cost to provide trips for their clients to agency programs (or some combination of these). If the State provides for client transportation that would count as well. To the best of your knowledge, please estimate the portion of client transportation provided by human service agencies in the area: Type of Human Service Agency What portion of needed client transportation do they provide? Don’t100%75%50%25%0% Know Developmental disabilities / mental retardation Adult day care / adult day health care Senior nutrition (congregate meals) Dialysis Medicaid (other than dialysis) Other: Comments: Service Area: Respondent: