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Internet Survey

Internet Survey

NOTE: This internet survey is only for display purposes and not a live survey.

Welcome to the 2002 National Transportation Availability and Use Survey  

This survey is a national survey of transportation use by the Bureau of Transportation Statistics, U.S. Department of Transportation (see brochure). Your household was chosen to answer some questions about its transportation use. The information you provide will let those responsible for national transportation decisions know what improvements are needed.

Your participation is voluntary, and your answers will be completely confidential.

The study is authorized by Title 49, Section 111(c)(2) of the United States Code, which permits agencies to regularly measure customer satisfaction with their performance. The Office of Management and Budget approved the collection of this information under OMB number 2139-0007, which expires 4/30/2004.

Section C: Disability Information & Travel Outside the Home

I would like to ask you some questions about your travel and transportation use.

C2. On average, about how many days per week do you leave the home for any reason?

      0     1     2     3     4     5     6     7    
 

C3.

A focus of this survey is on transportation issues of persons with disabilities. Do you have any of the following long lasting conditions:
 

Yes

No

SKIP

a.

Blindness, deafness, or a severe vision or hearing impairment?

b.

A condition that substantially limits one or more basic physical activities such as walking, climbing stairs, reaching, lifting, or carrying?

C4.

Because of a physical, mental or emotional condition lasting six months or more, do you have any difficulty in doing any of the following activities:
 

Yes

No

SKIP

a.

Learning, remembering or concentrating?

b.

Dressing, bathing, or getting around inside the home?

c.

Going outside the home alone to shop or visit a doctor's office?

d.

Difficulty working at a job or business?



 

 

Yes

No

SKIP

C5.

Do you receive special education services?

 

 

Mild

Moderate

Severe

SKIP

C5a.

You told me that you have certain conditions or difficulties. Overall, do you consider these conditions or difficulties to be mild, moderate, or severe?

 

 

Vision

Hearing

Both

SKIP

C5b.

It is recorded that you have a vision or hearing impairment. Does the condition affect your vision, hearing, or both?

 

 

Yes

No

SKIP

C6.

Do you need any specialized assistance or equipment to travel outside the home?

C7. What kinds of specialized assistance or equipment? (Check all that apply.)

    Types of Assistance:
      Assistance from another person while inside the home
      Assistance from another person while outside the home
      Interpreter
      Professional care such as rehabilitation or counseling
      Service Animal

    Types of equipment:
      Manual wheelchair
      Electric scooter or wheelchair
      Cane, crutches or walker
      Leg, arm, back brace
      Prosthetic device (e.g., artificial arm, hand, leg, foot)
      Automotive adaptive aid (e.g., hand controls)
      Public transportation aid (e.g., wheelchair lift, kneeling bus, etc.)
      Hearing aid
      Magnifiers or high-powered glasses
      Oxygen
      Medication
      Other (Specify: )
      SKIP

 

 

Yes

No

SKIP

C8.

Do you have any difficulties in getting the transportation that you need?

C9. What kinds of difficulties do you have in getting the transportation that you need? (Check all that apply.)

    Transportation Related:
      Don't have a car
      No or limited public transportation in community
      No or limited taxi service in community
      Buses don't run on time
      Buses don't run when needed
      Bus stops are too far away
      Transportation does not accommodate special equipment (e.g., walker, cane, wheelchair)

    Disability Related:
      Physical or other disability makes transportation hard to use

    Other:
      Costs too much
      Don't want to ask others for help or inconvenience others
      There's no one I can depend on
      Fear of crime stops me from going places
      Other (Specify: )
      SKIP