1. Are you the male/female head of your
household?
(Go
to Q.4) Yes 01
(Go
to Q. 2) No 02
Ref/(DK) 03
2. May I please speak with the male/female
head of your household?
(Go to Q.4) Yes 01
(Go to Q. 3) No, not here 02
No,
Refused 03
(Terminate) (DK) 04
3. Is there a better time for me to call back
and speak with either the male or female head of household?
(Call
Back) Yes 01
No
02
(Terminate) Ref/(DK) 03
4. How would you rate the Virginia Department
of Transportation, also known as V-DOT, for having a plan for managing
transportation needs across the state?
Please use a scale of 1 to 10, where 10 is the highest rating you
can give and a 1 is the lowest rating you can give. In terms of having a plan for managing transportation needs
across the state, would you give V-DOT a:
1 2
3 4 5 6 7
8 9 10 (DK)
5. How would you rate V-DOT for its current
management of transportation needs within the area of the state where you
live? Again, use a scale of 1 to
10, where 10 is the highest rating you can give and 1 is the lowest
rating you can give. In terms of
managing transportation needs in your area, would you give V-DOT a:
1 2
3 4 5 6 7
8 9 10 (DK)
6. Now, thinking about current V-DOT
construction projects in the area of the state where you live, how would you
rate V-DOT on the management of those construction projects? Again, use a scale of 1 to 10, where
10 is the highest rating you can give and a 1 is the lowest rating you can
give. Would you rate V-DOTs management
of current construction a:
1 2
3 4 5 6 7
8 9 10 (DK)
7. Think now about information you might have
received about V-DOT road construction in your area. You may have seen or heard that information on television, the
radio, the newspaper, on the internet or in the mail. How would you rate the effectiveness of the information you have
received about V-DOT road construction in your area? Would you say that the information is:
Very
effective 01
Fairly
effective 02
Somewhat
effective 03
Or,
very ineffective 04
(DK) 05
8. How would you describe the amount of
information you have received about V-DOT road construction in your area? Would you say that:
You have received more information
than
you
need 01
You have received about the right
amount
of information 02
You have not received enough
information 03
(DK) 04
9. And, finally, generally speaking, and on a
scale from 1 to 10, where 10 is the highest rating you can give and a 1
is the lowest rating you can give, how would you rate the management of V-DOT
as an organization? Would you rate the management of V-DOT a:
1 2
3 4 5 6 7
8 9 10 (DK)
MY LAST FEW QUESTIONS ARE FOR
CLASSIFICATION PURPOSES ONLY!
A. What is the age of the head of your household:
Under 25 1
25 - 29 2
30 - 39 3
40 - 49 4
50 - 64 5
or, 65 or older 6
(REFUSED) 7
B. What was the highest grade
level of school last completed by the head of your household:
Some high school or less 1
High school graduate 2
Some college or technical
school 3
College graduate 4
or, Post-graduate studies or
degree 5
(REFUSED) 6
C. What is the zip code of your
residence?
___ ___ ___ ___ ___
D. And in which County or City is
that located?
___________________
E. Is your total annual household
income:
Under $20,000 1
Between $20,000 and
$29,999 2
Between $30,000 and
$39,999 3
Between $40,000 and
$49,999 4
Between $50,000 and
$74,999 5
Between $75,000 and
$99,999 6
or $100,00 or more 7
(DK/REFUSED) 8
F. And may I verify that I reached
you at:
___________________________________________
THANK YOU FOR
YOUR PARTICIPATION! YOUR OPINION
COUNTS!
Interviewer Name: ________________ Male o
Date: ___________________________
Female o
Time
End: _________________________________
Time
Elapsed: ______________________________
Time: ______
Interviewer ID #:
___ ___ ___
