Regional Transportation Survey for Grays Harbor County

This survey is designed to identify what challenges you encounter with transportation, and to develop solutions to your transportation needs in Grays Harbor County.

1. What challenges do you have with your transportation to and from where you need to go?

Check all that apply

 No transportation service available in area

 Cannot travel to the bus/van stop

 I don’t know the available transportation service options

 Service schedule is not convenient

 Cost of public transportation service is too high

 I do not feel comfortable on public transit

 I have no problems with transportation services

 Other:

2. I need transportation because:

Check all that apply

 I am an elder or senior citizen

 I am disabled

 I don’t own a car

 I don’t have a driver’s license

 I am not old enough to have a driver’s license

 I am too ill to drive

 I am homeless

 I don’t have auto insurance

 Other

5. What city do you live in or nearest to? 6. How often do you make trips

Mark only one box. outside your town?

 Aberdeen  Oakville Mark only one box.

 Central Park  Ocean Shores  Daily

 Cosmospolis  Taholah  3-4 Times a Week

 Elma  Westport  1-2 Times a Week

 Hoquiam  Amanda Park  Less than One Time a Week

 McCleary  Grayland

 Montesano  Other

7. Where do you usually travel, and why do you travel there?

Work / Shopping / Medical / Banking / Social/ Entertainment / Other / If you entered “Other” or travel to multiple cities for one travel reason, please list those cities and reasons here:
Aberdeen/Hoquiam /  /  /  /  /  / 
Elma /  /  /  /  /  / 
Ocean Shores /  /  /  /  /  /  /
Montesano /  /  /  /  /  / 
Taholah /  /  /  /  /  / 
Westport /  /  /  /  /  / 
Olympia Area /  /  /  /  /  / 
Chehalis/Centralia Area /  /  /  /  /  / 
Seattle/Tacoma Area /  /  /  /  /  / 
Stay in my own town /  /  /  /  /  / 
Other /  /  /  /  /  / 

Transportation Systems & Methods

8. I currently use the following means of transportation:
Check all that apply. / 9. Please check all transportation services you use to travel:
(For any purpose, whether it be for shopping, work, or school.)
Check all that apply.
 Wheelchair (manual or motorized)
 Medical Transportation
 Personal Vehicle
 Dial-a-Ride
 Walking
 Bicycle
 Taxi Service
 Family, Friends, or Volunteers
 Other /  Personal Vehicle
 Carpooling/Vanpooling
(with friends or others)
 Grays Harbor Transit Authority
 Quinault Indian Nation
 Coastal CAP
 CTW
 Taxi
 Other
10. What is your level of comfort with carpooling (with friends/family or others) in your area?
Mark only one box. / 11. What days and times do you need public transportation or carpooling?
Check all that apply
 Comfortable with using or driving for a carpool
 Somewhat skeptical of carpooling and would need time to get to know the individuals
 Do not feel comfortable with using or driving for a carpool / Morning
(6-9 AM) / Midday
(11 AM-
1 PM) / Afternoon/
Evening
(4-8 PM) / Morning & Evening Commutes / All
Day
Mon /  /  /  /  / 
Tues /  /  /  /  / 
Wed /  /  /  /  / 
Thurs /  /  /  /  / 
Fri /  /  /  /  / 
Sat /  /  /  /  / 
Sun /  /  /  /  / 

Demographic Information (these questions are optional)

12. Please describe your physical condition. / 13. What is your current status/relationship with the United States Armed Forces? / 14. What is your gender identification?
 Can walk without assistance
 Can walk with assistance of a mobility device
 Cannot walk /  I am a FORMER member of the Armed Forces
 I am a CURRENT member of the Armed Forces
 I am a FAMILY MEMBER of a current or former member of the Armed Forces /  Male
 Female
 Other
15. In what age range do you fall?
 Under 15  50 to 54
 15 to 19  55 to 59 /  I am NOT a current or former member of the Armed Forces, NOR do I have family who is or was a current or former member. / Interested in receiving more information about transportation in your area, or helping to increase transportation resources? Please put your name, phone number and email address here:
 20 to 24  60 to 64 / 16. If you have any other concerns or input on transportation, please describe them here:
/ 17. How did you find out about this survey? (Please list organization or agency if applicable.)
 25 to 29  65 to 69
 30 to 34  70 to 74
 35 to 39  75 to 79
 40 to 44  80 to 84
 45 to 49  85 and older

Surveys are due August 15, 2014, and are available on the CWCOG website (www.cwcog.org).