SIR # 6637 (RGS)
SOUTHEASTERN
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Quota: (300) – FINAL INSTITUTE
OF
RESEARCH,
INC.
Western Virginia
December, 2004
Questionnaire
# _______
( -
)
Start time:___________________
Hello. This is (Your Name) from SIR Research; a national survey research firm located in Richmond. We’re conducting a consumer opinion survey among residents throughout the Commonwealth of Virginia and would like to include your household in the survey.
A. Are you the male/female head of your household?
(Go to Q.1) Yes 01
(Go to Q. 3) No 02
Ref/(DK) 03
B. May I please speak with the male/female head of your household?
(Go to Q.1) Yes 01
(Go to Q. C) No, not here 02
No,
Refused 03
(Terminate) (DK) 04
C. 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
Transportation
My first few questions pertain to transportation issues.
1. In the past year, have you come in contact with the Virginia Department of Transportation, or VDOT, in any of the following ways? (SELECT ALL THAT APPLY) (ROTATE)
Called VDOT 01
Visited a VDOT office 02
Searched the VDOT website 03
Received mail from VDOT 04
Attended a VDOT-run public meeting 05
Sent a letter to VDOT 06
Sent an email to VDOT 07
Encountered electronic message boards on Virginia highways 08
Encountered VDOT road crews 09
Visited a Virginia Interstate rest area 10
Read or heard about VDOT in the news 11
(SKIP TO Q. 3) ç (NONE) 12
2. How would you rate your satisfaction with your contact with VDOT in the past year? Would you say you were:
Very satisfied 01
Somewhat satisfied 02
Neither satisfied, nor dissatisfied 03
Somewhat dissatisfied 04
Very dissatisfied 05
(DK/REF) 06
3. Which one of the following tasks do you most associate with VDOT? (ONE RESPONSE ONLY) (ROTATE)
Road maintenance, such as snow removal, roadside mowing and clean-up or pothole repair 01
Traffic Management, including signal timing, road signs, and electronic message boards 02
Incident Response, which includes helping to clear accidents and roadway obstructions as well as to assist stranded motorists 03
New Road Construction, ensuring quality design work and projects delivered on time and within budget 04
Providing Traffic and Travel Information, through the website, state maps, and traffic alerts 05
Working with communities, stakeholders and business to Plan For Future Transportation Needs 06
Or, something else (please specify) ___________________07
(DK/REF) 99
4. Which of the tasks I just mentioned do you
think should be VDOT’s biggest priority? (RE-READ LIST IF NECESSARY) (ONE RESPONSE
ONLY)
Road maintenance, such as snow removal, roadside mowing and clean-up or pothole repair 01
Traffic Management, including signal timing, road signs, and electronic message boards 02
Incident Response, which includes helping to clear accidents and roadway obstructions as well as to assist stranded motorists 03
New Road Construction, ensuring quality design work and projects delivered on time and within budget 04
Providing Traffic and Travel Information, through the website, state maps, and traffic alerts 05
Working with communities, stakeholders and business to Plan For Future Transportation Needs 06
Or, something else (please specify) ___________________07
(DK/REF) 99
5. How well does VDOT perform on (Q. 4 RESPONSE)? Would you say they are:
Excellent 01
Good 02
Fair 03
Poor 04
(DK/REF) 99
6. Are you aware that motorists stopped and ticketed for speeding on a section of Interstate 81 near Roanoke, known as the Highway Safety Corridor, may have to pay significantly increased fines?
Yes 01
(SKIP TO DEMOS) ç No 02
(SKIP TO DEMOS) ç (DK/REF) 03
7. If you have driven that part of I-81, how has your driving behavior been affected? Would you say:
You drive safer and pay closer attention to the posted speed limits 01
It has had no affect, as you have always driven the posted speed limits 02
It has had no affect; you continue to drive as you always have 03
(DON’T DRIVE THE HIGHWAY SAFETY CORRIDOR) 04
(DK/REF) 05
Demographics
A. My last few questions are for statistical purposes only! Is your age: (READ)
1)
Under
25
2)
25
– 34
3)
35
– 44
4)
45
– 54
5)
55
– 64
6)
65
or older
7)
(DON’T
KNOW / NOT SURE /RF)
B. Which of the following categories includes the last year or grade of school you have completed? (READ)
1)
Some
high school or less
2)
High
school graduate
3)
Some
college or technical school
4)
College
graduate
5)
or,
Post-graduate studies or degree
6)
(DON’T
KNOW / NOT SURE/RF)
C. Do you have children under 19 living in your household?
1)
Yes
2)
No
è(GO TO D)
3)
(RF) è(GO TO D)
C-1. Do you have children under 12?
1)
Yes
2)
No
3)
(RF)
C-2. Do you have children 12 - 18?
1)
Yes
2)
No
3)
(RF)
D. What is your current marital status? Are you:
1)
Married
2)
Single
3)
Divorced
4)
Widowed
5)
or
Separated
6)
(RF)
E.
Which of the following categories includes your total annual household
income? (READ)
1)
Under
$15,000
2)
$15,000
to $20,000 ($19,999)
3)
$20,000
to $30,000 ($29,999)
4)
$30,000
to $40,000 ($39,999)
5)
$40,000
to $50,000 ($49,999)
6)
$50,000
to $75,000 ($74,999)
7)
$75,000
to $100,000 ($99,999)
8)
$100,000
or more
9)
DON’T
KNOW / NOT SURE
F. How many in your household contribute to this income?
1)
One
2)
Two
or more
3)
DON’T
KNOW / NOT SURE
4)
REFUSED
What is your zip code?
_________________________________
G. Interviewer record if
respondent is:
Male o
Female o
THANK YOU FOR
YOUR PARTICIPATION! YOUR OPINION
COUNTS!
Interviewer Name: ________________
Time
End: _________________________________
Time
Elapsed: ______________________________
Time: ______
Interviewer ID #:
___ ___ ___