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Omnibus Survey
Household Survey Results
Final Annotated Survey Questionnaire
April 2003

Professional interviewers administer this questionnaire using computer-assisted telephone interviewing (CATI). In addition to the answer categories displayed for each question, the interviewer has the option to enter "don’t know" or "refused" but these categories are not displayed on–screen.

The questionnaire consists of eight sections: an introduction section, followed by six "subject matter" sections and an interviewer close–out section:

Formatting conventions for this document:

• Question/answer text in boldface type displays verbatim text to read to respondent. Within such text, words or phrases enclosed in brackets [ ], such as in Question F0080, will change depending upon time frames or respondent responses to previous items. Words or phrases enclosed in parentheses ( ), such as in Question F0456, are optional and should be read to respondent as part of the question only when needed.
• Answer text in regular type is not read aloud to respondent. Instead, the interviewer will wait for response and categorize it into one of the listed categories.
• TEXT IN ALL CAPS displays on–screen instructions to the interviewer or questions that the interviewer answers.
• Text in italics provides CATI system instructions or options, such as skips or fills.

Section F – Introduction and Respondent Selection

CATI system will generate and dial telephone number. When someone answers, interviewer begins.

F0054. Hello, my name is _______, and I’m calling on behalf of the United States Department of Transportation about a national study on transportation issues. In the aftermath of the terrorist attacks on September 11, 2001, transportation has become a more critical issue in our society.

HIT "RETURN" TO CONTINUE

F0080. Have I reached [telephone number]?

1. Yes
2. No – Sorry, I must have dialed incorrectly. Goodbye.

THANK RESPONDENT AND TERMINATE. HIT "RETURN" TO CONTINUE.

F0066. Your household has been selected for this study, and we are very interested in your transportation use and opinions. Please remember that your input will help strengthen our nation’s transportation system.

HIT "RETURN" TO CONTINUE

F0100. Is this phone for a home, a business, or both?

1. Home – go to F0200
2. Business
3. Both home and business – go to F0200

F0150. Sorry, I’m trying to reach a residence. Goodbye.

HIT "RETURN" TO CONTINUE

F0200. Are you a household member who is at least 18 years old?

1. Yes – go to F0351
2. No

F0250. May I please speak to a household member who is at least 18 years old?

1. Yes – go to F0351
2. No

F0300. When would be a good time to call back to speak with someone who is at least 18 years old?

HIT "RETURN" TO SCHEDULE CALLBACK

F0351. IF INTERVIEWER IS SPEAKING WITH A NEW RESPONDENT, BEGIN BY REPEATING F0054. THEN SAY...

This study is designed to select one household adult to answer the questions. We choose that person based on birthdays, so I need to talk with the person living there now, aged 18 years or older, who will have a birthday next. What is the first name of that person?

Name ___________ TYPE IN PERSON’S FIRST NAME

F0400. May I please speak with [insert name]?

1. Yes
2. No – go to F0500

F0400A. INTERVIEWER: IS THE ELIGIBLE RESPONDENT ON THE PHONE, OR IS THE ELIGIBLE RESPONDENT COMING TO THE PHONE?

1. Eligible respondent on phone (Skip to F0420B)
2. Eligible respondent coming to the phone (Skip to F0420A)
3. Eligible respondent unable/not coming to phone (Skip to F0500)

F0420A. Hello, my name is _____ and I am calling on behalf of the United States Department of Transportation about a national study on transportation issues. I need to talk with the person living there now, aged 18 or older, who will have a birthday next. I was informed that would be you; is that correct?

1. Yes (Skip to F0456)
2. No INTERVIEWER: ASK "Who then is the person who will have a birthday next?" HIT "RETURN" TO RE–ENTER NAME OF ELIGIBLE RESPONDENT

F0420B. So you are the person who will have a birthday next?

1. Yes (Skip to F0456)
2. No INTERVIEWER: ASK "Who then is the person who will have a birthday next?" HIT "RETURN" TO RE–ENTER NAME OF ELIGIBLE RESPONDENT

F0456. INTERVIEWER NOTE: READ THE FOLLOWING PARENTHETICALS ONLY IF RESPONDENT ASKS FOR ADDITIONAL DETAILS. REPEAT F0351 AS NECESSARY. THEN SAY...

I have some questions about your transportation use, and about your opinions on important transportation issues such as safety, commuting and air travel. Your participation in this voluntary study (there is no penalty for refusing to answer any question) will take only about 10 minutes, and your answers will be used only for statistical summaries. The study is authorized by law (Title 49, Section 111c2 of the United States Code).

HIT "RETURN" TO CONTINUE

Skip to F0550

F0500. When would be a good time to call back to speak to [insert name]?

HIT "RETURN" TO SCHEDULE CALLBACK

F0550. ADDRESS QUESTIONS OR USE REFUSAL CONVERSION TECHNIQUES. IS RESPONDENT WILLING TO CONTINUE?

1. Yes
2. No – THANK RESPONDENT AND TERMINATE

HIT "RETURN" TO CONTINUE

F0601. For quality purposes, my supervisor may monitor this call.

ENTER "1" TO PROCEED, OR ENTER "2" TO SCHEDULE CALLBACK

1. PROCEED – go to G0051
2. SCHEDULE CALLBACK

ARRANGE A CALLBACK. HIT "RETURN" TO CONTINUE

Section G – General Transportation Core Questions

G0051. First I need to ask about all the kinds of transportation you used either for personal or for business travel last month.

HIT "RETURN" TO CONTINUE

G0103. During March, did you drive or ride in a personal vehicle? (Examples of personal vehicles include a car, van, SUV, pickup truck, RV.)

1. Yes
2. No (Skip to G0150)

G0851A. How many days did you drive or ride? (ENTER NUMBER)

____days

G0150. During March, did you drive or ride in an organized carpool or vanpool?

1. Yes
2. No (Skip to G0302)

G0851B. How many days did you drive or ride? (ENTER NUMBER)

____days

G0302. During March, did you ride on any public transit within a city or metropolitan area? Examples of public transit include a bus, rapid rail (subway, surface or elevated), light rail, commuter bus or rail from suburb to city.

1. Yes
2. No (Skip to G0201)

G0851C. How many days did you use it? (ENTER NUMBER)

____days

G3001. As opposed to other means of transportation, please tell me the main reason you used public transit last month. (CODE THE FIRST REASON GIVEN) (DO NOT READ LIST)

1. Have no vehicle available
2. Cheaper/Costs less/Saves money/Parking too expensive
3. Faster than other means of transportation
4. More convenient than other means of transportation
5. Less impact on the environment than other means of transportation
6. Parking not available
7. Away from home on business or pleasure travel

97) Other – SPECIFY _______________________

G3051. Consider your most recent trip using public transit. What was the primary purpose of the trip? (CODE PRIMARY PURPOSE) (DO NOT READ LIST)

1. Work/Work–related
2. Shopping
3. College/Other school
4. Medical services
5. Social, religious worship, personal business

7)  Other – SPECIFY _______________________

G0201. During March, did you ride on a city–to–city bus, such as Greyhound?

1. Yes
2. No (Skip to G0210)

G0851D. How many days did you ride on it? (ENTER NUMBER)

_____ days

G0902B. And of these days, how many were for business or work? (INTERVIEWER: PREVIOUS ANSWER WAS ____)

_____ days

G0210. During March, did you ride on a charter or tour bus line?

1. Yes
2. No (Skip to G0251)

G0851O. How many days did you ride on it? (ENTER NUMBER)

_____ days

G0251. During March, did you ride on a city–to–city train, such as AMTRAK?

1. Yes
2. No (Skip to G0880)

G0851E. How many days did you ride on it? (ENTER NUMBER)

_____ days

G0902C. And of these days, how many were for business or work? (INTERVIEWER: PREVIOUS ANSWER WAS ____)

_____ days

G0880. In your area, do you have long distance, city–to–city train service such as AMTRAK? INTERVIEWER NOTE: YOU MAY HAVE TO EXPLAIN THAT SOME RESPONDENTS USE CITY–TO–CITY TRAIN SERVICE SUCH AS AMTRAK WHEN OUT OF TOWN ON BUSINESS OR PLEASURE.

1. Yes
2. No

G0350. During March, did you fly on a commercial airline?

1. Yes
2. No (Skip to G0401)

G0851F. How many days did you fly on a commercial airline? (ENTER NUMBER)

_____ days

G0902D. And of these days, how many were for business or work? (INTERVIEWER: PREVIOUS ANSWER WAS ____)

_____ days

G0401. During March, did you fly on a charter, private, or corporate airplane or helicopter?

1. Yes
2. No (Skip to G0453)

G0851G. How many days did you fly on a charter, private, or corporate airplane or helicopter? (ENTER NUMBER)

_____ days

G0902E. And of these days, how many were for business or work? (INTERVIEWER: PREVIOUS ANSWER WAS ____)

_____days

G0453. During March, did you drive or ride on a motorcycle, a motorized scooter, motorized bicycle, moped or all terrain vehicle?

1. Yes
2. No (Skip to G0501)

G0851H. How many days did you drive or ride one of these vehicles? (ENTER NUMBER)

_____ days

G0501. During March, did you ride a bicycle? Please do not include stationary bicycles.

1. Yes
2. No (Skip to G0551)

G0852I. How many days did you ride a bicycle? (ENTER NUMBER)

_____ days

G0952. Primarily for what purpose did you use it? (DO NOT READ LIST)

1. Commuting to work or school
2. Recreation
3. Exercise/for my health
4. Personal errands (to the store, post office, and so on)
5. Required for my job

7) Some other purpose – SPECIFY _________________________

G1002. And on a typical day that you rode a bicycle, about how much time did you spend bicycling?

_____ hours and _____ minutes

CATI system must ensure an entry for both hours and minutes

G1052. Did you bicycle mostly on: (READ LIST)

97)  Other – SPECIFY ____________________

G0551. During March, did you walk, run, or jog at least one time outside for 10 minutes or more? (such as to work, to a store or to a park)

1. Yes
2. No (Skip to G0702)

G0851J. How many days did you walk, run or jog? (ENTER NUMBER)

_____ days

G1102. Primarily for what purpose did you walk, run, or jog? (DO NOT READ LIST)

1. Commuting to work or school
2. Recreation
3. Exercise/for my health
4. Personal errands (to the store, post office, walking the dog, and so on)
5. Required for my job

7)  Some other purpose – SPECIFY _______________

G1151. And on a typical day that you walked, ran, or jogged, about how much time did you spend walking, running, or jogging?

_____ hours and _____ minutes

CATI system must ensure entry for both hours and minutes

G1203. Did you walk, run, or jog mostly on: (READ LIST)

1. Paved roads (not on shoulders of paved roads)
2. Shoulders of paved roads
3. Bike lanes on roads

97) Other – SPECIFY ___________________

G0702. During March, did you operate or ride on a recreational boat such as a motorboat, canoe, rowboat or sailboat?

1. Yes
2. No (Skip to G0652)

G0852M. How many days did you use a recreational boat? (ENTER NUMBER)

_____ days

G1259. On a typical day that you went recreational boating, about how much time did you spend using the recreational boat?

____ hours and ____ minutes

CATI system must ensure entry for both hours and minutes

G0652. During March, did you operate or ride on a personal watercraft such as a jetski, skidoo or waverunner?

1. Yes
2. No (Skip to G0601)

G0852L. How many days did you use a personal watercraft? (ENTER NUMBER)

_____ days

G1252. On a typical day that you went personal watercrafting, about how much time did you spend using the personal watercraft?

____ hours and ___ minutes

CATI system must ensure entry for both hours and minutes

G0601. During March, did you ride on a commercial boat, ship, or ferry?

1. Yes
2. No (Skip to G0555)

G0851K. How many days did you ride on a commercial boat, ship, or ferry? (ENTER NUMBER)

_____ days

G0555. During March, did you ride as a passenger on a cruise ship?

1. Yes
2. No (Skip to G0752)

G0851P. How many days did you ride as a passenger on a cruise ship? (ENTER NUMBER)

_____ days

G0752. During March, did you use any other means of transportation? For example a taxi, limousine, hotel or airport shuttle, or any other means of transportation that I may not have mentioned to you. (INTERVIEWER: BEFORE CODING, ENSURE THAT ANSWER CANNOT BE INCLUDED IN ONE OF THE OTHER CATEGORIES)

1. Yes
2. No (Skip to G2002)

G0780. What other means of transportation did you use?

__________________________________________

__________________________________________

G2002. Now I would like to ask you your opinions associated with your use of three major modes of transportation in March.

HIT "RETURN" TO CONTINUE

If G0103 = 2 then skip to instruction before G2102

G2016. Considering all the costs associated with driving or riding in a personal vehicle, how satisfied were you with what it cost you to travel by personal vehicle during March? Were you (READ LIST)

G2026. In terms of security from crime or terrorism, how secure did you feel while driving or riding in a personal vehicle in March? Did you feel (READ LIST)

G2046. In terms of safety from accidents, how safe did you feel while driving or riding in a personal vehicle in March? Did you feel (READ LIST)

G2066. In terms of travel time, using a personal vehicle, overall, how satisfied were you with the amount of time it took you to get where you wanted to go in March? Were you (READ LIST)

G2086. In general, how would you rate the level of convenience of traveling by personal vehicle? Is it (READ LIST)

G2094. Now please tell me, when you travel by personal vehicle, which one of the following is most important to you? Is it (READ LIST)

If G0302 = 2 then skip to instruction before G2202

G2102. Now I would like to ask you your opinions associated with your use of public transit in March.

G2116. Considering all the costs associated with using public transit, how satisfied were you with what it cost you to travel by public transit during March? Were you (READ LIST)

G2126. In terms of security from crime or terrorism, how secure did you feel while using public transit in March? Did you feel (READ LIST)

G2146. In terms of safety from accidents, how safe did you feel while using public transit in March? Did you feel (READ LIST)

G2166. In terms of travel time on public transit, overall, how satisfied were you with the amount of time it took you to get where you wanted to go during March? Were you (READ LIST)

G2186. In general how would you rate the level of convenience of traveling by public transit? Is it (READ LIST)

G2194. Now please tell me, when you use public transit, which one of the following is most important to you? Is it (READ LIST)

If G0350 = 2 then skip to B0051

G2202. Now, I would like your opinions associated with flying on a commercial airline in March.

G2216. Considering all the costs associated with flying on a commercial airline, how satisfied were you with what it cost you to travel by commercial airline during March? Were you (READ LIST)

G2226. In terms of security from crime or terrorism, how secure did you feel while flying on a commercial airline in March? Did you feel (READ LIST)

G2246. In terms of safety from accidents, how safe did you feel while flying on a commercial airline in March? Did you feel (READ LIST)

G2266. In terms of travel time using commercial airlines, overall, how satisfied were you with the amount of time it took you to get where you wanted to go during March? Were you (READ LIST)

G2286. In general, how would you rate the level of convenience of traveling by commercial airline? Is it (READ LIST)

G2294. Now please tell me, when you travel by commercial airline, which of the following is most important to you? Is it (READ LIST)

Section B - BTS Topical Transportation Questions

B0051. The next questions are about commuting to work.

HIT "RETURN" TO CONTINUE

D0900. Last month, did you do any work for pay or profit?

1. Yes
2. No (Skip to B2300)

B0104. Last month did you commute, that is, travel routinely from home to work? (INTERVIEWER: EXCLUDE TELECOMMUTING; COMMUTING MAY INCLUDE ANY TYPE OF TRANSPORTATION.)

1. Yes
2. No (Skip to B0371)

B0153. Altogether, about how many days did you commute to work last month?
(INTERVIEWER: REMIND THE RESPONDENT HOW MANY WEEKDAYS WERE IN LAST MONTH ALONG WITH ANY MAJOR HOLIDAYS) (ENTER NUMBER)

_____ days

B0154. On a typical day last month, to get to work did you... (READ LIST)

If B0154 = 1, 3, 4 skip to B0310. If B0154 = 5 skip to B0158.

B0157. Did you drive alone or were there other commuters in your car?

1. Alone
2. Other commuters
3. Other non–commuters (children, students, etc.)

Skip to B0310

B0158. Please list the combination of modes used.

____________________

B0310. Did you work at the same location on most days?

1. Yes (Skip to B0352)
2. No

B0315. Did you work at more than one location on a typical day?

1. Yes
2. No (Skip to B0352)

B0320. On a typical day, how much time did you spend traveling from worksite to worksite?

_____ hours and_____ minutes (go to B0371)

CATI system must ensure entry for both hours and minutes

B0352. On a typical day, how much time did a one–way, door–to–door trip from home to work take?

THE TIME RECORDED FOR COMMUTING TO WORK ON A TYPICAL DAY SHOULD BE THE TIME IT TOOK TO COMMUTE USING ALL MODES OF TRANSPORTATION USED ON A TYPICAL DAY.

_____ hours and_____ minutes

CATI system must ensure entry for both hours and minutes

B0353. On a typical day, how many miles one–way do you travel from home to work?

_____ miles

B0371. Have you ever telecommuted? That is, have you ever worked at home for pay for your employer instead of working at the office? (This does not include taking work home at night or over the weekend or self–employed persons who work at home.)

1. Yes
2. No

B0375. Does your current job offer the option of telecommuting?

1. Yes (If B0371 is "No", skip to B0395)
2. No (Skip to B0395)

B0376. Are you currently participating in a telecommuting program?

1. Yes
2. No (Skip to B0395)

B0363. During the month of March how many days did you telecommute?

_______ days

B0377. What is your primary reason for telecommuting? (INTERVIEWER: RECORD VERBATIM. HIT ESCAPE KEY AFTER ENTERING INFORMATION)

_________________________________________

B0395. Have you ever worked at a telework center or satellite office?

[INTERVIEWER: FOCUS IS ON WORKING SOMEWHERE OTHER THAN ONE’S "NORMAL" WORKPLACE FOR THE PURPOSE OF REDUCING COMMUTE TIME.

SATELLITE OFFICE: ALTERNATE WORK SITE THAT IS IN A SEPARATE LOCATION OTHER THAN YOUR PRIMARY WORKSITE.

TELEWORK CENTER: ALTERNATE WORK SITE, COULD POSSIBLY HOUSE WORKERS FROM MANY DIFFERENT BUSINESSES.]

1. Yes
2. No

B0380. Does your current job offer the option of working at a telework center or satellite office?

1. Yes (If B0395 is "No", skip to B2300)
2. No (Skip to B2300)

B0386. Do you currently work at a telework center or satellite office?

1. Yes
2. No (skip to B2300)

B0388. During the month of March, how many days did you work at a telework center or satellite office?

_______ days

B0390. What is your primary reason for working at a telework center or satellite office? (INTERVIEWER: RECORD VERBATIM)

_________________________________________

B2300. My next group of questions is about commercial air travel.

HIT "RETURN" TO CONTINUE

B2311. In what month and year was your most recent commercial airline flight? (INTERVIEWER: PLEASE PROMPT FOR MONTH AND YEAR)

1) Enter month and year

5) Have never flown on a commercial airline (Skip to B3002)

B2315. Please let me verify your last answer as [insert respondent’s last answer].

1. Yes, correct (CONTINUE)
2. No, incorrect

If B2311 1) is earlier than one year ago skip to B3002 (Note: Remember we are collecting data for the month of March, one year ago would include April 2002 through March 2003).

B2321. Now, I’d like you to think of your most recent commercial airline flight. Was the primary purpose of your trip business or work related? (IF NECESSARY, GIVE EXAMPLES SUCH AS PROFESSIONAL CONFERENCE, MEETING WITH CLIENTS.)

1. Yes, business/job related
2. No

B2333. Still thinking of your most recent flight in which of the following sections was your seat located: (READ ENTIRE LIST EXCEPT DON’T KNOW)

If B2333=1, 2 or 3 skip to B2341

B2334. Was your seat located in any of the following areas: (READ LIST)

B2341. Did the price paid for the airline ticket carry any restrictions? For example, did you have to book your trip two weeks in advance, were you required to stay overnight on a Friday or Saturday, or were you prohibited from changing your ticket without paying a penalty?

1. Yes
2. No

B2601. How soon before your most recent flight did you arrive at the airport?

_____ hours and_____ minutes

IF MORE THAN 5 HOURS, CODE AS 5

B2701. How long did you wait in line to go through the passenger screening checkpoint for your most recent flight? The checkpoint we are referring to is the only one where you must walk through a metal detector and your carry–on items are x–rayed. How long did you wait?

_____ hours and_____ minutes

IF MORE THAN 5 HOURS, CODE AS 5

CATI system must ensure entry for both hours and minutes

B2751. How did you feel about the amount of time spent waiting in line at the passenger screening checkpoint? Did you feel the amount of time was (READ LIST)

B2801. How would you rate the thoroughness of the screening process? Would you rate it (READ LIST)

B2853. How would you describe your level of confidence in the ability of the passenger screeners to keep air travel secure from individuals with hostile intentions? Would you say you have (READ LIST)

B2900. How satisfied were you with the courtesy of the screeners at the passenger screening checkpoint? Were you (READ LIST)

B2950. How satisfied were you overall with your experience at the passenger screening checkpoint? Were you (READ LIST)

B2977. How consistent have screening procedures been in airports you have departed from? Have they been (READ LIST)

If B2311 1) is one year ago or later skip to B3100 (Note: Remember we are collecting data for the month of March, one year ago would include April 2002 through March 2003).

B3002. How would you describe your level of confidence in the ability of the passenger screeners to keep air travel secure from individuals with hostile intentions? Would you say you have (READ LIST)

B3100. Have the changes in passenger screening procedures since September 11, 2001 made you (READ LIST)

B4300. My next group of questions ask for information about Internet use and household freight deliveries.

B4310. During March, did you have access to the Internet, from home, work, or some other location?

1. Yes
2. No (Skip to B4350)

If B4310 = refused or do not know skip to B4350

B4320. During March, did you use the Internet to purchase merchandise to be delivered to an address other than your home address (for example delivery to a friend or family member)?

1. Yes
2. No

B4330. During March, did you use the Internet to purchase merchandise to be delivered to your home address?

1. Yes
2. No (Skip to B4350)

If B4330 = refused or do not know skip to B4350

B4340. During March, how many times did you purchase merchandise to be delivered to your home using the Internet?

ENTER NUMBER _________

B4350. During March, how many times did you purchase merchandise to be delivered to your home by using the telephone?

ENTER NUMBER _________

B4360. During March, how many times did you purchase merchandise to be delivered to your home by mailing an order form to a business or company?

ENTER NUMBER __________

B4370. During March, how many times did you purchase merchandise, in person, at a store or business that had to be delivered to your home; that is, you did not take the merchandise home with you?

ENTER NUMBER __________

B4380. During March, how many deliveries did you receive at your home that were delivered by a company other than the US Postal Service – someone other than your regular mail delivery person? Non–US Postal Service companies include FedEx, UPS, Emory, Airborne Express, DHL, as well as other private delivery companies that could include private furniture or appliance delivery companies.

ENTER NUMBER __________

B4390. During March, did you receive any of the following types of merchandise at your home: (READ LIST. RECORD ALL MENTIONS.)

B5000. My next set of questions is about recent events in the news.

B5010. Recently the government has issued several changes to threat levels used to assess the potential for terrorist acts. Have those changes in threat level caused you to fill up or "top off" your fuel tank more often than you did before?

1. Yes
2. No

B5020. Have those changes in threat level caused you to begin carrying food, water, or other emergency supplies in your personal vehicle?

1. Yes
2. No

B5030. As a result of the current war in Iraq, have you changed your everyday travel routines?

1. Yes
2. No (Skip to B5040)

B5031. What kinds of changes have you made?

SPECIFY _______________________

B5040. There has been a lot of news recently about a newly identified disease called Severe Acute Respiratory Syndrome or SARS. Do you or did you have travel plans to any of the affected areas?

1. Yes
2. No (Skip to SS0050)

B5041. Has concern about this new disease caused you to change any of your travel plans?

1. Yes
2. No

Section SS – Strategic Goal Questions

SS0050. Now I want to ask your opinion on some safety–related transportation issues.

HIT "RETURN" TO CONTINUE

SS0101. Using a scale from 1 to 5 where "1" means not at all concerned and "5" means very concerned, please tell me how concerned you are about the following risks to your personal safety. Consider all the types of transportation.

SS1000. I just asked about your concern with various transportation issues.

HIT "RETURN" TO CONTINUE

SS1010. Now, using a scale from 1 to 5 where "1" means very dissatisfied and "5" means very satisfied, please tell me how satisfied you are about what the Federal government is doing to address the following transportation safety issues:

SS1051. On a scale of 1 to 5 where "1"one means very dissatisfied and "5" means very satisfied how satisfied are you with what the Federal Government is doing to ensure effective passenger vehicle safety standards?

1  2  3  4  5

SS1101. (On a scale of 1 to 5 where "1" means very dissatisfied and "5" means very satisfied). How satisfied are you with what the Federal Government is doing to ensure effective safety standards for large trucks?

1  2  3  4  5

SS1301. On a scale of 1 to 5 where "1" means very dissatisfied and "5" means very satisfied how satisfied are you with what the Federal Government is doing to ensure effective safety standards for airport security?

1  2  3  4  5

SS1151. (On a scale of 1 to 5 where "1" means very dissatisfied and "5" means very satisfied). How satisfied are you with what the Federal Government is doing to ensure the safe take–off and landing of aircraft through the air traffic control system?

1  2  3  4  5

SS1351. On a scale of 1 to 5 where "1" means very dissatisfied and "5" means very satisfied how satisfied are you with what the Federal Government is doing to ensure the safety of commercial aircraft passengers?

1  2  3  4  5

SS1251. (On a scale of 1 to 5 where "1" means very dissatisfied and "5" means very satisfied). How satisfied are you with what the Federal Government is doing to ensure the safe transportation of hazardous chemicals?

1  2  3  4  5

SS1201. On a scale of 1 to 5 where "1" means very dissatisfied and "5" means very satisfied how satisfied are you with what the Federal Government is doing to ensure the safety of large fuel and natural gas pipelines in your community?

1  2  3  4  5

Section M – Operating Administration Modal Questions

The next group of questions are of interest to the National Highway Transportation Safety Administration.

MNH0510. Have you driven a vehicle in the last twelve months?

1. Yes
2. No (Skip to MNH0710)

MNH0580. In the last 12 months, have you been involved in a crash in a vehicle where you were the driver?

1. Yes
2. No

MNH0600. In the last 12 months, have you been involved in a near miss in a vehicle where you were the driver?

1. Yes
2. No

MNH0710. How satisfied are you with how your local community is designed for making bike riding safe? Are you (READ LIST)

MNH0715. How satisfied are you with how your local community is designed for making walking safe? Are you (READ LIST)

Section D – Demographic Questions

D0050. This final section asks for information to help us summarize the study results. No identifying information about you or your household will ever be released or published.

HIT "RETURN" TO CONTINUE

D0061. How many registered road vehicles are available for regular use by members of your household?

ENTER NUMBER ______

(INTERVIEWER: IF RESPONDENT ANSWERS 10 OR MORE, RECORD AS 10)

D0104. Do you have any kind of disability or health impairment?

1. Yes (If B2311 = 1) is less than 09 2001 or B2311 = 5 or 9 then go to D0110)
2. No (Skip to D0110)

D1103. Due to your disability have air travel passenger screening procedures changed for you since September 11, 2001?

1. Yes
2. No (Skip to D0110)

D1104. How have they changed for you?

__________________________________________________________

D0110. Does anyone else currently living in your household, including children, have any kind of disability or health impairment?

1. Yes
2. No

If D0104 = 2 and D0110 = 2 go to D0251. If D0104 = 1 and D0110 = 2 go to D0106.

D0105. How many other people (besides yourself)?

__________

D0106. Does anyone in the household use adaptive equipment in any motor vehicle (for example hand controls, modified foot pedals, or a wheelchair lift)?

1. Yes
2. No

D0107. We may conduct another study soon that focuses on transportation use among persons with disabilities or health impairments. Your household’s experience and opinions on this critically important topic would be of great value. May we contact your household for this study?

1. Yes
2. No

D0251. How many people aged 18 or older live in your household, including yourself? (ENTER NUMBER)

_____ people

INTERVIEWER: REPEAT ANSWER TO RESPONDENT: "Including yourself, ______ people aged 18 or older live in your household?"

D0300. Please stop me when I reach the category that includes your age: (READ LIST UNTIL RESPONDENT STOPS YOU TO SELECT A CATEGORY)

D0350. (RECORD GENDER; ASK ONLY IF NECESSARY) Are you male or female?

1. Male
2. Female

D0404. Do you consider yourself to be Hispanic or Latino?

1. Yes
2. No

D0402. Is the racial group that best describes you... (READ ENTIRE LIST. READ PARENTHETICAL ONLY IF RESPONDENT ASKS FOR CLARIFICATION.) (RECORD ALL THAT APPLY)

7) Other – SPECIFY _________

D0450. What is the highest level of education you’ve completed? (DO NOT READ LIST)

1. Less than high school graduate
2. High school graduate (or GED)
3. Some college (or technical vocational school/professional business school)
4. Two–year college degree (AA: Associate in Arts)
5. Four–year college degree (BA or BS: Bachelor of Arts/Science degree)
6. Graduate degree (Master’s, Ph.D., Lawyer, Medical Doctor)

D0501. Please stop me when I reach the category that includes your household’s total annual income for last calendar year, that is, 2002: (READ LIST UNTIL RESPONDENT STOPS YOU TO SELECT A CATEGORY)

1. Under $15,000
2. From $15,000 to less than $30,000
3. From $30,000 to less than $50,000
4. From $50,000 to less than $75,000
5. From $75,000 to less than $100,000
6. $100,000 or more

D0553. Not including the telephone number which I called you on, how many additional phone numbers do you have in your household? Please do not count numbers for cellular phones, or phone lines that are exclusively for computer of fax use.

0)  None (Skip to D0801)

1. One
2. Two
3. Three
4. Four or more

READ AFTER RESPONDENT HAS GIVEN ANSWER: "So, you have ______ additional phone numbers that are not used exclusively for fax machine, computer or cellular phone?"

D0751. Is the primary use of the additional phone number(s) for household use, business use, or both?

1. Household use only
2. Business use only
3. Both household and business use

D0801. In order to classify your household for statistical purposes, what is your ZIP code? (ENTER NUMBER)

___ ___ ___ ___ ___

D0810. Did your household receive an advance notice in the mail concerning this study?

1. Yes
2. No

D0850. This concludes the study questions. On behalf of the Department of Transportation, I thank you for your time. Goodbye.

HIT "RETURN" TO CONTINUE

Section I – Interviewer Close Out Questions

I0050. THESE QUESTIONS ARE ANSWERED BY THE INTERVIEWER AFTER THE RESPONDENT HANGS UP.

HOW WELL DID THE RESPONDENT UNDERSTAND THE QUESTIONS?

1. Not at all
2. Not very well
3. Well
4. Very well

I0100. HOW COOPERATIVE WAS THE RESPONDENT IN ANSWERING THE QUESTIONS?

1. Not at all cooperative
2. Not very cooperative
3. Cooperative
4. Very cooperative

I0150. IN WHAT LANGUAGE WAS THE INTERVIEW CONDUCTED?

1. English
2. Spanish
3. Both English and Spanish

7) Other – SPECIFY __________________

I0200. PLEASE NOTE ANYTHING ELSE YOU FEEL IS HELPFUL OR IMPORTANT ABOUT THIS INTERVIEW.

11) CONTINUE TO ENTER TEXT OF RESPONSE

99) No notes to add