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 G: Demographics
Thank you for completing the questionnaire to this point. The last bit of
information that we would like to ask are a few background questions.
G1. What is your ZIP code?
SKIP
G3.
Next, I'm going to ask about your living arrangement? Do
you . . .
Yes
No
SKIP
a.
Live alone?
b.
Live with a spouse or significant other?
c.
Live with any children under the age of 18?
d.
Live with one or more parents or guardian(s)?
e.
Other?
G4. What is the highest level of education you have completed?
Less
than high school graduate
High
school graduate or GED
Some
college (or technical/vocational school or professional business school)
Two-year
college degree (AA)
Four-year
college degree (BA or BS)
Graduate
Degree (Masters, PhD, Lawyer, Medical Doctor)
SKIP
Yes
No
SKIP
G5.
Have you ever retired from a job or business?
Yes
No
SKIP
G6.
Did you retire due to a disability?
G7. What is your current marital status?
Married
Never
married
Widowed
Separated
or divorced
SKIP
Yes
No
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G8.
During the past year, has your household been without
telephone service for a continuous period of a week or more?
G9. How long were you without telephone service?
One week
or less
Two
weeks
Three
weeks
Four
weeks
Five
weeks or more
SKIP
Yes
No
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G10.
Does your household have access to the Internet?
G11. Are you of Hispanic, Latino, or Spanish origin?
Yes
No
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G12. Please tell me which
one or more best describes your race. (Please check all that apply.)
White
African
American or Black
Asian
American
Indian or Alaskan Native
Native
Hawaiian or other Pacific Islander
Multiracial
Hispanic
or Mexican
Other
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G13. Are your living quarters . . .
Owned
or being bought by you or someone in your houshold
Rented
for cash
Occupied
without payment of cash rent
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G14. What was the total combined income for all persons in your household
during the past 12 months, including income from jobs, Social Security, retirement
income, public assistance, and all other sources?
Less
than $15,000
Between
$15,001 to $50,000
Over
$50,000
SKIP
