Outreach Tech Memo - Stanislaus Council of Governments

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Outreach Technical Memorandum. 2. • Where these people live or are located and where they do need to go. • For what trip purpose do these persons need ...
Outreach Technical Memorandum

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Outreach Technical Memorandum

Table of Contents 1.

INTRODUCTION .............................................................................................................. 1

2.

STAKEHOLDER MEETINGS............................................................................................... 3

3.

AGENCY TRANSPORTATION SERVICES QUESTIONNAIRE .................................................. 8

4.

MUNICIPAL ADVISORY COUNCIL (MAC) Survey ............................................................. 11

5.

FAITH-BASED/CHURCH SURVEY .................................................................................... 12

6.

CONSUMER SURVEY ..................................................................................................... 13

7.

CONCLUSIONS.............................................................................................................. 16

Index of Tables TABLE 2.1 - STAKEHOLDER MEETINGS ...................................................................................... 3 TABLE 3.1 - AGENCY TRANSPORTATION SERVICES .................................................................. 10 TABLE 6.1 - AGE PROFILE OF RESPONDENTS............................................................................ 13 TABLE 6.2 - TRAVEL METHOD OF RESPONDENT....................................................................... 14 TABLE 6.3 - WHY RESPONDENTS DO NOT USE TRANSIT ........................................................... 14

Appendices APPENDIX A: STAKEHOLDER GROUP DIALOGUE QUESTIONS, STAKEHOLDER GROUP MOBILITY LIMITATION QUESTIONS, STAKEHOLDER AGENCY QUESTIONNAIRE, LETTER TO CAREGIVER ORGANIZATIONS, LIST OF STAKEHOLDER AGENCIES AND SENIOR DISABILITY LIVING FACILITIES CONTACTED APPENDIX B: TRANSIT NEEDS ASSESSMENT STUDY FACT SHEET, STAKEHOLDER GROUP MEETING OBJECTIVES APPENDIX C: AGENCY TRANSPORTATION SERVICES MATRIX APPENDIX D: MUNICIPAL ADVISORY COUNCIL SURVEY LETTER, MUNICIPAL ADVISORY COUNCIL SURVEY QUESTIONNAIRE, LIST OF MUNICIPLE ADVISORY COUNCILS CONTACTED APPENDIX E: FAITH-BASED/CHURCH SURVEY LETTER, FAITH-BASED/CHURCH SURVEY QUESTIONNAIRE, FAITH-BASED/CHURCH SURVEY RESPONSE MATRIX, LIST OF CHURCHES/FAITH-BASED ORGANIZATIONS CONTACTED APPENDIX F: ENGLISH AND SPANISH CONSUMER SURVEY QUESTIONNAIRES, CONSUMER SURVEY RESPONSE MATRICES (7) BY TOTAL AND BY AGE GROUPS

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Outreach Technical Memorandum

1. INTRODUCTION HDR Engineering, Inc. was engaged to conduct the Stanislaus County Transit Needs Assessment Study. The primary focus of this study is to identify the mobility needs of seniors aged 60 years and older and persons with disabilities residing in Stanislaus County, and to develop feasible service strategies to effectively and efficiently meet these needs. Objectives of the study include: •

Residential Concentrations: Identify where seniors and persons with disabilities are currently concentrated.



Travel Patterns: Define concentrated travel patterns that can be effectively served by scheduled transit services and dial-a-rides, and define travel patterns that may be more appropriately served by non-traditional modes.



Core Travel Times: Identify peak travel days or times of day for seniors and persons with disabilities



Range of Trip Purposes: Identify key trip purposes and the type of transportation services that are most appropriate to accommodate different trip purposes.



Travel Requirements: Identify service design features (vehicle type and level of driver assistance) required to effectively meet the travel needs of seniors and persons with disabilities in Stanislaus County.



Satisfied Demand and Travel Needs: Identify those needs that are currently being well served, or could be better served by the wide range of existing public and private services currently offered in Stanislaus County.



Unsatisfied Needs and Service Gaps: Identify current and future travel needs that are not or cannot be met by the current range of existing public and private services currently offered in Stanislaus County. Identify gaps within the context of Stanislaus Council of Governments’ (StanCOG) definition of “unmet transportation needs that are reasonable to meet”. In situations where needs cannot be reasonably served by public transit options, identify alternative transportation service strategies.

Stanislaus County has been interested in documenting the transportation needs of seniors (60 years of age and older) and persons with disabilities. In an effort to reach as many of the target audience as possible, HDR|The Hoyt Company chose to incorporate an extensive outreach component into the study. The purpose of the outreach component as part of the study has been to determine: • The specific transportation needs of these groups 1

Outreach Technical Memorandum

• • • •

Where these people live or are located and where they do need to go For what trip purpose do these persons need transportation What days and hours of service are needed to meet the identified needs What type of transportation services can be used to meet the transportation needs

The outreach component included one-on-one and small-group stakeholder meetings, an agency transportation services questionnaire, a faith-based/church survey, a Municipal Advisory Council (MAC) survey, and a consumer survey. Lists of all the agencies/organizations contacted can be found in the appendices. •



• •

Over 200 agencies throughout the county were contacted by telephone and by e-mail to inform them about the study and to encourage their participation in the stakeholder meetings. The list of questions to be used for the stakeholder meetings were included in the electronic mailing along with an agency transportation services questionnaire which was to be completed at the stakeholder meetings. The list of questions and the agency services questionnaire included in the electronic mailing are contained in Appendix A. A special mailing to 153 caregiver organizations was sent out in October informing them about the study and encouraging their participation in the stakeholder meetings. The list of questions to be used for the stakeholder meetings were included in the mailing along with an agency transportation services questionnaire which was to be completed at the stakeholder meetings. The letter used for this mailing is contained in Appendix A. Presentations regarding the study and the consumer survey that were conducted at the monthly coalition forum with El Concilio in October and in November at the Area Aging Commission and Services to Older Adults Advisory Council (STOAAC) meetings. Catholic Charities along with other stakeholder organizations hosted a “People’s Transportation Hearing” in Modesto on November 21, 2008. The Project Team attended the hearing and used the opportunity to administer the consumer survey as well as provide them to attendees with promise to have their constituents, family or friends complete and return the questionnaires.

Stakeholders were identified through the Project Oversight Committee and defined as • Administrative provider-agency staff • Case managers and Social workers • Caregivers (family members or paid staff) As mentioned above, all stakeholders were called and e-mailed (wherever possible) to inform them about the meetings and to provide them with the questions that would be used for discussion at these meetings. In addition, an agency transportation services questionnaire was provided in advance of the meetings.

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2. STAKEHOLDER MEETINGS The following findings from the stakeholders meetings reflect both data provided by agency staff as well as perceptions of how the service is delivered. In some cases, the perceptions do not always reflect a complete understanding of transit or dial-a-ride service policies and parameters. Ten stakeholder meetings were held throughout the County. Each meeting was two hours in duration and the times varied in order to accommodate stakeholder schedules. The date, time, location, and number of attendees for each meeting are listed below: SOME PLACE YOU MAY WANT TO MENTION HOW AGENCIES WERE CONTACTED TO ATTEND THESE MEETING. IF MULTIPLE CALLS WERE MADE OR WHAT. I’M SURE A QUESTION IS GOING TO BE WHY THERE WAS SUCH A LOW TURNOUT. Table 2.1 - STAKEHOLDER MEETINGS MEETING DATE

October 22, 2008 October 23, 2008 October 23,2008 October 28, 2008 October 29, 2008 November 5, 2008 November 6, 2008 November 13, 2008

MEETING TIME

10:00 am and 1:00 p.m. 10:00 a.m. 2:00 p.m. 2:30 p.m. 10:00 a.m. and 1:00 p.m. 1:00 p.m. 2:30 p.m. 2:30 p.m.

MEETING PLACE

Modesto Ceres Oakdale Patterson Modesto Turlock Newman Riverbank

NUMBER OF ATTENDEES

11/2 1 1 0 8/6 2 1 3

As reflected in Table 2.1 above, thirty-five individuals participated in the stakeholder meetings. Twenty-five agencies were represented through these stakeholder meetings. All meeting locations for the small-group stakeholder meetings were held in ADA-compliant facilities. Personal outreach was conducted in the cities of Modesto, Ceres, Turlock, Hughson, Newman, Patterson, Oakdale, and Riverbank in order to garner interest and increase participation in the stakeholder meetings. The questions used for discussion at these meetings were provided to stakeholders in advance and are listed below: • What percentage of your clients has a mobility impairment (provide examples)? • What percentage of your clients is housebound and cannot go out without assistance? • What are your active clients’ most important non-agency trip purposes? • What are your housebound clients’ most important non-agency trip purposes? • What are the key destinations of your clients (identify facilities and locations within and beyond the County)? 3

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What percentage of your clients has difficulty accessing goods, services, and activities in the County? Is it because of: o Lack of access to transportation o Inability to use available public transportation For those who have mobility limitations, what are the barriers that restrict travel? Is it because of: o No license o No reliable vehicle o Cannot walk to a bus stop o Need assistance beyond that provided by dial-a-ride, etc.

Following the discussion on general themes below, the results of the stakeholder responses to the questions listed above were presented. All stakeholders participated in responding to the questions willingly and with interest to provide as much information as possible. Each stakeholder received a copy of the study fact sheet at the meeting. A meeting summary was prepared for each stakeholder meeting. The study fact sheet and the list of questions used in the stakeholder meetings are contained Appendix A. General Themes The following general themes reflect stakeholder perceptions of needs and existing service levels. • Unmet travel needs - A general theme regarding unmet travel needs, identified for both seniors and persons with disabilities through the stakeholder meetings, is the need for a customized “door through door” service that provides assistance at the origin of the trip as well as at the destination of the trip. • Dial-A-Ride pick up windows - The next most popular theme was the waiting time and the perception that the pick up windows required for a shared ride demand response service is a reflection of poor service reliability. Often times individuals miss appointments or must wait for the scheduled return trip. • Quality of life - For chronically ill and disabled individuals, having to wait for up to 2+ hours for a return Runabout or Shuttle trip does not help these individuals maintain a healthy and good quality of life. Often times, the target audience will delay critical medical appointments because the navigation for public transportation is so time-consuming and exhausting. •

Transit sensitivity training - A major complaint about current fixed route service heard at the stakeholder meetings is the lack of sensitivity from transit operators toward the elderly and disabled passengers. Specific examples were not provided.

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Response to Group Questions • What percentage of your clients has a mobility impairment (provide examples)? The range of mobility impaired clients as represented by the agencies participating in the stakeholder meetings was from 30 percent to as high as 100 percent. These agencies represented countywide services to seniors and individuals with disabilities. According to the Area Agency on Aging about 30 percent of all seniors in the County have mobility impairments. The stakeholder agencies with the least percentage of mobility-impaired clients (3%) are the Modesto and Oakdale senior centers. It appears that family members drive the participant to the center or the individual is still able to drive him/herself to the senior center. • What percentage of your clients is housebound and cannot go out without assistance? Agency response varied from as low as 10 percent distributed equally throughout the county to as high as 95 percent with a greater concentration in the Modesto/Turlock/Ceres area. • What are your active clients’ most important non-agency trip purposes? According to the 25 agencies participating in the stakeholder meetings, the most important reason for travel by active seniors and persons with a disability is a medical appointment. This is followed by grocery shopping – which sometimes also includes picking up prescriptions. Personal errands such as visiting family, handling banking business, and in some cases going to church, funerals or to the cemetery was the third most important reason for active clients’ non-agency trips. During the discussion on this question, participants mentioned the hardship that even active clients face when traveling from areas such as Oakdale for a medical appointment in Modesto. According to the participants, it takes a whole day to travel on public transit from the rural areas of the County to Modesto for an appointment. Examples were provided where clients are waiting for Dial-a-Ride service from as early as 7:00 a.m. and do not return home until about 6:00 or 7:00 p.m. that evening because of connections and excessive waiting time. • What are your housebound clients’ most important non-agency trip purposes? The overwhelming response here was that medical/dental appointments are the most important non-agency trip requests for housebound clients. Second to that is grocery/food shopping. Agencies, such as Geriatric Home Care, report that transporting housebound clients can be difficult because many are non-ambulatory. Special assistance is required in the home getting them out the door; getting into the vehicle; and, helping them out and into the door at their destination.

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Other agencies, such as the Modesto Senior Center, expressed concern over the lack of socialization and a good quality of life as a result of not having appropriate transportation for impaired individuals. The Senior Access and Resource Team (SART) representative mentioned that some of their clients are no longer involved in their church because they do not have proper transportation. •

What are the key destinations of your clients (identify facilities and locations within and beyond the County)? Memorial and Emmanuel medical centers, Kaiser Hospital, and dialysis centers in Modesto, Turlock and Ceres, were the most commonly mentioned destinations for participant’s clients. This was followed the local labs for medical testing, Turlock and Oakdale hospitals, and the local senior centers. In addition, participants mentioned grocery stores and other shopping centers as important destinations for their clients. Regional or beyond county destinations included the veterans administration healthcare facilities in Livermore and Palo Alto, UC Davis medical center, and a dental clinic in Merced. The veteran’s facilities were mentioned in the second most important destination by participants. The latter two destinations were in the third most important destination for clients. Well over 80 percent of these trips are to or within the City of Modesto. •

What percentage of your clients has difficulty accessing goods, services, and activities in the County? Is it because of: o Lack of access to transportation o Inability to use available public transportation Of the twenty-five agencies that participated in the stakeholder meetings, all indicated that very few of their clients use public transit. The primary reasons stated include inability to walk to a bus stop; the time involved in using public transit, cost for Dial-a-Ride service (too expensive), and medical equipment cannot be accommodated. In terms of lack of access, the participants reported that clients in the rural areas suffer the most due to lack of adequate transportation services especially when they need to get to appointments in Modesto or Turlock. No specific documentation was offered; although examples were provided. Such an example would be a disabled veteran having to use an entire day to travel from Oakdale for services in Modesto; partially due to connections and partially due to transit schedules. The remark by the stakeholder was that it is often times too much for the target audience to navigate all the connections and schedules. It should be noted that StaRT’s Eastside Shuttle provides a single seat ride (requiring no transfers) between points in Riverbank/Oakdale and Modesto. •

For those who have mobility limitations, what are the barriers that restrict travel? Is it because of: 6

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o No license o No reliable vehicle o Cannot walk to a bus stop o Need assistance beyond that provided by dial-a-ride, etc. Of the 25 agencies represented, participants indicated that the cost for Dial-a-Ride transit has become too expensive for individuals on a fixed income…either social security or SSI. Further, participants reported that their clients found the waiting time for Dial-a-Ride service especially difficult to handle at the end of the day or on their return trip. Numerous stories were provided by participants about their agency staff taking clients home because they had been waiting more than “two hours” and the agency or center had already closed and the transit service had not yet arrived. Many respondents indicated that their clients required a higher level of assistance than Dial-a-Ride transit service is able to provide. Many require a caregiver to accompany them but do not have one to assist them when traveling on public transportation Lastly, participants expressed concern for lack of assisted transportation resources dedicated to the mobility impaired clients who are either elderly, disabled or both. The fatigue level among this audience requires a door-through-door level of assisted service that the public shared ride, dial-a-ride services are not established to provide.

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3. AGENCY TRANSPORTATION SERVICES QUESTIONNAIRE Of the 375 agencies contacted, twenty-five provider organizations completed the agency transportation services questionnaire reporting the level and type of transportation service offered to their clients. Special telephone calls and e-mails were sent to 13 additional key agencies soliciting their participation in completing the transportation services questionnaire. Of this additional outreach, we received two responses bringing the total number to 28 agencies that responded to the agency transportation services questionnaire. The questionnaire was designed to identify the clientele, geographic service area(s), the type of transportation services offered, eligibility criteria, funding source and amount for transportation services, etc. The questionnaire and the resulting agency service matrix from all 28 respondents are contained in Appendix B. Of the 28 agencies that responded, 16 indicated that they provide direct transportation assistance or service to their clients. For more information on these 16 agencies, refer to Table 2 found on pages 9, 10, and 11. The approach to providing transportation services by these agencies appears to be defined by the particular travel requirements of their clients. The range of clients includes seniors, persons with physically disabilities, and the developmentally disabled. While some clients are able to use fixed route transit or curb-to-curb dial-a-ride, others require supplemental service in areas or at times beyond transit or dial-a-ride coverage, or require a higher level of door-throughdoor assistance. The range of agency alternatives includes: •

The procurement of fixed-route transit and free distribution to agency clients for program related travel. Fourteen agencies indicated that transit was used by a portion of their clients. The proportion of clients using transit ranged from less than one percent to 50%.



The procurement of dial-a-ride tickets and free distribution to agency clients for program related travel. Fifteen agencies indicated that public dial-a-ride was used by a portion of their clients. The proportion of clients using public dial-a-ride ranged from two percent to 90%.



The provision of door-to-door and/or door-through-door service for clients who live outside transit and dial-a-ride service areas, or who need additional driver assistance, using: o Contract service to and from agency programs. Three agencies indicated the use of contract services for program related trips. o Staff vehicles driven by agency staff. Six agencies indicated the use of agency vehicles. 8

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o Agency staff driving their own vehicles with a mileage reimbursement. Four agencies indicated the use of staff driving their own vehicles. o Volunteer drivers driving their own vehicles with a mileage reimbursement. Three agencies indicated having a volunteer driver pool. o Client reimbursements (mileage – Veterans Administration) (gas vouchers – Geriatric Home care Specialists). o Taxi vouchers (Oakdale Police Department, Citizen’s Auxiliary Police Services). Most agencies use a number of different alternatives to meet their client needs. In the case of Valley Mountain Regional Center, some service is provided directly by residential care facilities using facility vehicles. Turlock Adult Day Care uses only its own vehicles as it has proved to be the most effective for their clients. Catholic Charities, however, provides service to its clients as well as clients from other agencies.

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Table 3.1 - AGENCY TRANSPORTATION SERVICES Agency

Type of Service

Eligibility

Communities Served

Funding Sources

Annual Budgets

# of Clients

# of Annual Trips

Not Provided

5,000

Not Provided

$6,000

350

Not Provided

Veterans Administration

Client mileage reimbursement. Provide fixed route & DAR tickets.

All veterans of all ages, families caring for veterans, & agencies that assist veteran clients

Modesto, Patterson, Turlock, Riverbank, Oakdale, Newman, Salida, Ceres.

Veterans Admin

Howard Training Center

Staff driving agency vehicle Provide fixed route & DAR tickets Contract with Storer

Developmentally challenged aged 22 years & older Assistance & service limited to programspecific travel

Modesto, Patterson Turlock, Riverbank, Oakdale, Newman, Ceres

Budget internally from program related client funds

Seniors

Modesto, Patterson, Turlock Riverbank

Costs are passed through to clients served

Costs are passed to clients served

18

1,800

55 years and older

Modesto, Patterson, Turlock, Oakdale, Hughson

Not Provided

Not Provided

Not Provided

Not Provided

Staff driving agency vehicle

Chronically mentally ill

Modesto, Ceres

Not Provided

Not Provided

160

Not Provided

Private vehicles

Elderly & disabled aged 65 and older

Modesto, Patterson, Turlock, Riverbank Oakdale, Newman, Ceres

Budget internally from program related client funds

Not Provided

5,500

8,250

60 year and older

Modesto, Patterson, Turlock, Riverbank Oakdale, Newman, Ceres, Hughson

Not Provided

Not Provided

261

5,581

Developmentally Disabled

Modesto, Patterson, Turlock, Riverbank Oakdale, Newman, Ceres,

Valley Mountain Regional Center & Special Olympics

$250,000

1,600

Not Provided

Turlock Adult Day Health Care Center

Staff driving own vehicles Staff driving agency vehicle Provide fixed route and DAR tickets

Adults aged 18 and older requiring physical or emotional rehabilitation.

Modesto, Turlock, Ceres, Waterford

Budget internally from program related client funds

$36,500

100-120

1,280

Society for Handicapped Children & Adults

Volunteer driver pool

Disabled persons

Modesto, Patterson, Turlock, Riverbank Oakdale, Newman,

100% privately funded

$40,000

1,000

3,600

Senior Access & Resource Team

Staff driving agency vehicle Provide fixed route and DAR tickets

Mentally ill aged 60 years and older

Modesto, Patterson, Turlock, Riverbank Oakdale, Newman, Ceres

Mental Health Services Act (Proposition 63)

Not Provided

250

1,000

Salvation Army Turlock Silvercrest Residence

Volunteer driver pool Staff driving agency vehicle

Low income seniors aged 65 and older

Turlock

No specific trans. budget identified. Trans. costs paid through general budget

Not Specified

100

100

Valley Mountain Regional Center

Contract with Storer for Work Program TripsResidential Care Facility vehicles for non-work program trips.

Developmentally disabled

Modesto, Patterson,Turlock, RiverbankOakdale, Newman,Ceres, Salida, Waterford, Hughson, rural unincorporated areas

Trans. costs funded through general California Dept. of Dev. Services funding per client

$3M

3,100 (in Stan Co.) 2,720 living independently; 380 living in Residential Care Facilities

180,000

Miller's Place

Staff driving agency vehicle Provide DAR tickets

Elderly & disabled

Modesto, Turlock, Riverbank, Oakdale, Ceres, Hughson, Waterford

Not Provided

Not Provided

70

2,913

Citizen's Auxiliary Police Services (CAPS) - Oakdale Police Department

Provide taxi vouchers

Elderly

Oakdale

Not Provided

Not Provided

Not Provided

Not Provided

17,620

205,000

Home In Stead Senior Care Geriatric Home Care Specialists Davis Guest Home

Link 2 Care

Catholic Charities Assisted Transportation

Stanislaus ARC

Staff drive own vehicles (reimbursed for mileage Staff drive own vehicles Gas vouchers for clients

Volunteer driver pool - mileage reimbursement Staff driving agency vans Staff driving own vehicles Staff driving agency vehicle Contract with Storer

TOTALS

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4. MUNICIPAL ADVISORY COUNCIL (MAC) SURVEY The Municipal Advisory Councils (MAC) survey involved coordination with the Stanislaus County Chief Executive Office. That office has oversight responsibilities for the eight MACs in the County. Each MAC was called with information on the study and encouraged to respond to the one-page survey. A letter and brief questionnaire was sent to each MAC after consultation with the County’s MAC coordinator. The letter and questionnaire were mailed to each MAC on November 13, 2008. They were requested to respond by December 1, 2008. Individual telephone contact was again after the mailing of the questionnaire. Only one response was received from the Valley Home Municipal Advisory Council indicating that fixedroute service is need in their jurisdiction. The letter and questionnaire used in the MAC survey are contained in Appendix C.

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5. FAITH-BASED/CHURCH SURVEY At the request of some members of the Project Oversight Committee, churches/temples were included in the outreach effort of the transit needs assessment study. A data search yielded four hundred and fifty churches and temples in Stanislaus County; these 450 were used for this outreach effort. A letter and brief survey were mailed to the database on November 12, 2008. The letter provided a brief description of the transit needs assessment study and requested their participation via completion of the enclosed questionnaire. A stamped self-addressed enveloped was included for their convenience. The questionnaire was due into our office the week of December 1, 2008. Of the 450 mailed questionnaires, 96 completed responses were received for a 21.3% return rate. Of the 96 completed questionnaires, 38 churches/temples answered “yes” to providing transportation services. Only three of the 38 churches/temples that provide transportation services have an annual transportation budget that is funded from weekly tithes and offerings. The majority of churches/temples that provide transportation services are on a volunteer basis and only eight have a church/temple bus or van. Two of the churches/temples also mentioned that they could provide more services, but do not have a wheelchair lift. A total of 58 churches/temples answered “no” to providing transportation services. Many of the churches/temples that do not provide any formal transportation services commented that they would provide such services but they lack the resources. The letter and questionnaire for this survey along with the response matrix are contained in Appendix D.

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6. CONSUMER SURVEY In an effort to reach the target audience, elderly and persons with a disability, a consumer survey was designed in both English and Spanish. It was a one-page questionnaire comprised of mostly multiple-choice questions. Surveys were widely distributed in an attempt to reach stakeholders and consumers in all incorporated and unincorporated areas of Stanislaus County. The consumer survey was launched on November 12, 2008 with an initial release of 3,540 questionnaires. An additional 375 questionnaires were put into the field as a result of continued interest and the Catholic Charities public hearing on November 21, 2008. The consumer survey deadline, originally December 1, 2008, was extended through January 21, 2009 to accommodate additional participation from the west county area. The Oversight Committee felt additional time was necessary for receipt of the maximum number of surveys. An additional 60 questionnaires were distributed to west county stakeholders The methodology for administration of the survey was critical to the success of the survey results. The project team chose to use the network of agencies in Stanislaus County that provide services to the elderly and persons with a disability. As such, over 350 agencies were contacted by telephone, e-mail, and US mail. Special groups hosted the outreach consultant during their regular meeting and the survey was administered at that time. Those groups included: • Modesto Parkinson’s Support Group • Hispanic resident meeting in Patterson • Citizenship class with El Concilio in Modesto Summary of Survey Results Of the 3,975 questionnaires put into the field, 1,248 completed questionnaires were returned. This represents a 31.4% return rate. The results of the survey were tabulated by age groups and by the total of responses. The age breakdown of respondents is listed below in Table 6.1. Table 6.1 - AGE PROFILE OF RESPONDENTS Age Group # of Respondents Under 55 years of age 154 55-60 years of age 69 61-65 years of age 125 66-70 years of age 163 71-75 years of age 167 Over 75 years of age 570

% of Total 12.34% 05.53% 10.02% 13.06% 13.38% 45.67%

The total number of respondents for the combined age groups of 61 years through over 75 years of age is 1,025 or 82.13% of all respondents. Of all respondents, 532 or 42.63% reside in Modesto. A majority of the Modesto respondents (178) reside in zip code 95350. 13

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Oakdale is represented by 247 or 19.80% of all respondents. Turlock has the next highest representation of all respondents with 139 or 11.14%. The Patterson (72), Newman (43) and Hughson (36) areas combined a representation of 151 or 12.10% of all respondents. The mode of travel throughout the county and in the region for the respondents falls into the categories displayed in Table 6.2 below. Table 6.2 - TRAVEL METHOD OF RESPONDENT Mode of Transportation Drive own car Public transit/bus Dial-a-Ride Family Member or Friend Taxi Service provided by social service agency Other

# of Respondents 498 255 270 621 54 80 142

447 respondents indicated that they use public transit while 767 responded that they do not use public transit. 34 respondents did not answer this question. Of those respondents who do not use public transit, their reasons for not using it are listed in Table 6.3 below. Table 6.3 - WHY RESPONDENTS DO NOT USE TRANSIT Reasoning Have never used it Need help traveling Not convenient Does not go where I live or need to travel Have a car or still drive Not aware of available service Too expensive

# of Respondents 282 222 189 187 176 98 64

The reasons for needing public transportation correspond closely to what participants expressed during the stakeholder group meetings. Medical appointments, picking up prescriptions, grocery shopping, attending church, and going to the senior center were the most singularly popular reasons. However, contrary to the sentiments of the stakeholders in the group meetings, 927 respondents indicated that they do not need assistance from the inside of their home to a car, 14

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van or bus, while 293 respondents indicated that they do need such assistance. When asked if they needed help moving about once they got to their destination, 939 responded “no” while 274 responded “yes”. Of the 570 respondents aged over 75 years of age, 245 reside in Modesto with 140 residing in Oakdale. The remaining 185 of the respondents were dispersed somewhat equally throughout the county. A majority of this age group (311) travels the county with the assistance of a family member or friend driving them to their destinations. A majority of respondents in this age group (404) does not require assistance getting from the inside of their home to a car, van or bus. As well, a majority (414) does not need help moving about once they get to their destination. Interestingly, 202 respondents use a walker and 168 use a cane. While this age group may use a mobility aid, the respondents appear to represent an independent and ambulatory status. Copies of the English and Spanish questionnaires along with the matrices of results are contained in Appendix E.

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7. CONCLUSIONS While assistance from inside a home into a car, van or bus may not be a priority for the respondents, waiting too long for Dial-a-Ride service before and after an appointment is a priority. According to the consumer survey, the older age groups do not believe they need assistance at the origin of their trip and at their destination; the reason for this could be because family and friends are driving them to these appointments. The older age groups 71-75 years and over 75 year, all indicate that their travel is accomplished mostly by having family members and friends driving them. However, case workers and caregivers represent a different image of the need for this type of assistance. It may be that these older groups do not perceive that they have transportation needs because, at this time, the need is being met by family members and friends. It may also be that there is a hidden homebound group whose needs are not being met by family and friends and for whom the stakeholders (case workers, social workers, and caregivers) are advocating. For example, one family member in Newman spoke of the situation with her father who can no longer be transported in her vehicle to medical and other appointments because of his mobility aid. According to the consumer survey, many of the target audience do not use public transit nor have they ever used it. A few participants at stakeholder meetings referred to the “fear” and “lack of knowledge on how to use public transit” factors; suggesting the need for a public education campaign. One stakeholder, a volunteer with a senior center and member of a senior club, suggested that an education campaign on how to use public transit would be very useful for those seniors able to use public transit. She went on to further suggest that seniors be used to conduct the training – a sort of peer training. While Dial-a-Ride service is criticized for its waiting time, lack of flexibility by both consumers and stakeholders, it may be that this service is not appropriate for the older age groups and for various types of disability such as dementia. The potential implication from the findings above suggest that a need exists for those seniors unable to represent themselves because they are not members of the various senior clubs nor are they patrons of the local senior centers, but instead are homebound. In essence, because they are homebound and assisted through various private, public, and non-profit organizations, their voice has been heard through the stakeholders who participated in the group meetings. Findings from the outreach are incorporated in the definition of Stanislaus County Transit Needs Assessment satisfied and unsatisfied needs and in the development of service strategies to meet these needs. Some of the outreach findings suggest that some stakeholders and consumers are not aware of what transit services are available in the County, and do not fully understand how the fixed route and dial-a-ride services are delivered. This suggests a critical need for agency staff to 16

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become “transit-knowledgeable” so that they can better coach their clients on getting the most of what is currently available to meet some or all of their mobility needs. A wealth of transit information is available to agency staff in the form of service brochures available from all providers, as well as StaRT’s Taking the Bus DVD and Countywide Transportation Guide. A better understanding of how to use transit is a critical independent-living life skill that empowers the individual to take care of their own mobility needs.

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Outreach Technical Memorandum

APPENDIX A: STAKEHOLDER GROUP DIALOGUE QUESTIONS STAKEHOLDER GROUP MOBILITY LIMITATION QUESTIONS STAKEHOLDER AGENCY QUESTIONNAIRE LETTER TO CAREGIVER ORGANIZATIONS LIST OF STAKEHOLDER AGENGIES CONTACTED LIST OF SENIOR DISABLED LIVING FACILITIES CONTACTED

A-1

Outreach Technical Memorandum

A-2

Outreach Technical Memorandum

A-3

Outreach Technical Memorandum

A-4

Outreach Technical Memorandum

A-5

Outreach Technical Memorandum

A-6

Outreach Technical Memorandum

LIST OF STAKEHOLDER AGENCIES CONTACTED Agency Community Hospice, Inc. County of Stanislaus Child Health & Disability Program Disability Resource Agency Howard Training Center PU Modesto Junior College Open Door Services, Inc. Parkinsons Support Group Peer Independence Support Group Society for Handicapped Children & Adults Society for Handicapped Individuals SSTAC (Part of StanCOG) Stroke Resources Social Support Stroke Support Group The Disability Resource Agency for Independent Living (DRAIL) United Cerebral Palsy of Stanislaus County Valley Caregiver Resource Center / Caregiver Support Group Valley Mountain Regional Center Visually Impaired Persons of Stanislaus City of Modesto Disability Services Stanislaus County Behavioral Health & Recovery Services Dial a Ride - Modesto - Doug met with them already Alzheimer's Aid Society Alzheimers Day Care & Resource Center Area Agency on Aging / Commission on Aging Stanislaus County Department of Aging & Veterans Services Stanislaus Elder Abuse Prevention Alliance In Home Supportive Services Community Services Agency Adult Programs MSSP Multi Purpose Senior Services Program Howard Training Center PU Linkages Case Management / Senior Information & Assistance Family Caregiver Program & HICAP Adult Protective Services Center for Senior Employment Ceres Senior Club City of Hughson Comfort Keepers Geriatric Home Care Gladys L. Lemmons Senior Community Center Home Instead Senior Care Modesto Senior Center Modesto Senior Club Multipurpose Senior Service Program (MSSP) Newman Senior Club Patterson Provident Care, Inc. - Home Care Riverbank Senior Activities (Golden Agers) Community Center Senior Information and Assistance Senior Opportunity Service Program (Senior Discount Gold Card) Senior Support Group - Modesto VA Turlock ADHC (Adult Day Health Care) Turlock Senior Center Turlock Senior Club All Hours In Home Care ResCare Valley Senior Services AARP Foundation Sheriff Stars Volunteer Office DMC Foundation El Concilio Community Center Waterford Community Center American Cancer Society American Red Cross United Way - Senior Services - contract with county on volunteer services Catholic Charities Salvation Army Medic Alert Foundation

A-7

City Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Ceres Hughson Modesto Modesto Oakdale Modesto Modesto Modesto Modesto Newman Patterson Modesto Riverbank Modesto Modesto Modesto Turlock Modesto Turlock Turlock Modesto Modesto Merced Modesto Modesto Modesto Waterford Modesto Modesto Modesto Modesto Modesto Turlock

Outreach Technical Memorandum

LIST OF SENIOR DISABLED LIVING FACILITIES Agency Almond Terrace Davis Guest Home #5 – Capacity 8 Beds Casa Grande Village Ceres Christian Terrace Vineyard Apartments Whitmore Oaks Apartments Patsy's Guest Homes People's Board And Care Georgia’s Guest Home - Capacity 15 Beds Country Manor Of Samaritan Village – Capacity 96 Beds Samaritan Village Phase Ii Ana’s Home Care Capacity: 6 Becker Court Home - Capacity 6 Bethel Assisted Living – Capacity 166 Blossom Care Home Ii - Capacity 6 Camelia’s Home Care – Capacity 6 Casa De Modesto - Capacity 59 Dale Commons – Capacity 110 Beds Davis Guest Home #3 - Capacity 8 Beds Golden Care - Capacity 6 Beds Golden Care Ii - Capacity 6 Beds Graceful Living - Capacity 6 Beds Houser Manor - Capacity 6 Beds Lidia’s Blessed Home - Capacity 6 Beds Modesto Manor - Capacity 10 Beds Nellie’s Manor - Capacity 5 Beds Rick & Kate’s - Capacity 24 Beds Royal Home Care - Capacity 6 Beds Seasona Of Modesto – Capacity 48 Beds Sherwood Forest Manor 2 – Capacity 6 Beds Silver Leaf Villa - Capacity 6 Beds Sundial Senior Living Community – Capacity 96 Beds The Stratford At Beyer Park – Capacity 112 Beds Valley Comfort - Capacity 92 Beds Villa Rest Home - Capacity 24 Beds Victoria’s Care Home – Capacity 6 Beds Villa Le’manor – Capacity 24 Beds Walnut Grove – Capacity 82 Beds Waterbury Court - Capacity 6 Beds Amber Lights Sr Apartments Cameron Villa Rose Gardens Apartments Colonial Farms Apartments Conant Place Crane Terrace Senior Apartments Del Nido Apartments Dry Creek Village Apartments El Casa Verde Emerald Point Flora Graser Apartments Garden East Apartments Gateway Village Apartments Greenbriar Apartments Houser Glen Senior Apartments La Loma Senior Apartments Lamplighter Apartments Live Oak Apartments Marple Manor Neighborhood Manor Orange Garden Apartments Parkview Christian Estates Royal Palms (26) Sherwood Manor Senior Apartments Spartan Manor Senior Apartments Spring Glen Apartments Stardust Villa Apartments Vinewood Apartments Winwood Apartments Casa De Modesto Retirement Center Bethel Retirement Community Standiford Place Valley Manor Apartments West Side Village Senior Apartments Legends Care - Capacity 6 Beds Serenity Hill Residential Care Home – Capacity 6 Beds Garden Apartments Oak Haven Senior Apartments A-8

City Ceres Ceres Ceres Ceres Ceres Ceres Ceres Ceres Empire Hughson Hughson Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Newman Newman Oakdale Oakdale Oakdale Oakdale

Outreach Technical Memorandum

LIST OF SENIOR DISABLED LIVING FACILITIES (CONTINUED) Agency Oakdale Apartments El Solyo Village Las Palmas Housing Community For Seniors Foothill Manor - Capacity 15 Beds Lindbrook Quality Care – Capacity 5 Beds Ryanlee Manor – Capacity 4 Beds Alpine Sierra Apartments Willow Pointe Apartments Anderson’s Care Home - Capacity 48 Hospitality House - Capacity 40 Beds Kiernan Village - Capacity 32 Beds Cypress Of Emanuel – Capacity 49 Beds Lifespring Senior Campus - Capacity 40 Beds Mary A Home – Capacity 9 Beds Paramount Park - Capacity 122 Beds Rainbow Haven – Capacity 15 Beds Seasons At Turlock – Capacity 90 Beds St. Frances Assisted Care - Capacity 56 Beds St. Thomas Retirement – Capacity 49 Beds Turlock Residential - Capacity 49 Beds Arbor Manor Senior Apartments Cherry Tree Village Apartments East Avenue Manor Lakepark Apartments North Denair Manor Park Knoll Apartments Parkwood Apartments The Silvercrest Apartments St. Thomas Retirement Center Bel-Air Lodge Convalescent Home Elness Convalescent Hospital Turlock Nursing & Rehabilitation Center Waterford Garden Apartments County Of Stanislaus Child Health & Disability Program Disability Resource Agency Modesto Junior College Peer Independence Support Group Stroke Resources Social Support Stroke Support Group The Disability Resource Agency For Independent Living (Drail) United Cerebral Palsy Of Stanislaus County Valley Caregiver Resource Center / Caregiver Support Group Valley Mountain Regional Center City Of Modesto Disability Services Stanislaus County Behavioral Health & Recovery Services Dial A Ride - Modesto - Doug Met With Them Already Alzheimer's Aid Society Area Agency On Aging / Commission On Aging Stanislaus County Department Of Aging & Veterans Services Stanislaus Elder Abuse Prevention Alliance Center For Senior Employment Ceres Senior Club City Of Hughson Comfort Keepers Escalon Presbyterian Church Gladys L. Lemmons Senior Community Center Modesto Senior Club Multipurpose Senior Service Program (Mssp) Newman Senior Club Provident Care, Inc. - Home Care Senior Information And Assistance Senior Opportunity Service Program (Senior Discount Gold Card) Senior Services Of Emanuel Hospital Senior Support Group - Modesto Va Turlock Senior Center Turlock Senior Club All Hours In Home Care Rescare Valley Senior Services Sheriff Stars Volunteer Office Dmc Foundation El Concilio Community Center American Cancer Society Catholic Charities Salvation Army Medic Alert Foundation A-9

City Oakdale Patterson Patterson Patterson Riverbank Riverbank Riverbank Riverbank Salida Salida Salida Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Waterford Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Hughson Modesto Oakdale

Modesto Modesto

Modesto Modesto Turlock Modesto Modesto Modesto Modesto Modesto Modesto Turlock

Outreach Technical Memorandum

APPENDIX B: TRANSIT NEEDS ASSESSMENT STUDY FACT SHEET STAKEHOLDER GROUP MEETING OBJECTIVES

B-1

Outreach Technical Memorandum

B-2

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B-3

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APPENDIX C: AGENCY TRANSPORTATION SERVICES MATRIX

C-1

Outreach Technical Memorandum

C-2

Outreach Technical Memorandum

C-3

Outreach Technical Memorandum

C-4

Outreach Technical Memorandum

C-5

Outreach Technical Memorandum

C-6

Outreach Technical Memorandum

APPENDIX D: MUNICIPAL ADVISORY COUNCIL SURVEY LETTER MUNICIPAL ADVISORY COUNCIL SURVEY QUESTIONNAIRE LIST OF MUNICIPAL ADVISORY COUNCILS CONTACED

D-1

Outreach Technical Memorandum

D-2

Outreach Technical Memorandum

D-3

Outreach Technical Memorandum

D-4

Outreach Technical Memorandum

LIST OF MUNICIPAL ADVISORY COUNCILS CONTACED Municipal Advisory Council

City

Denair Municipal Advisory Council

Denair

Empire Municipal Advisory Council

Empire

Hickman Municipal Advisory Council

Hickman

Keyes Municipal Advisory Council

Keyes

Knights Ferry Municipal Advisory Council

Knights Ferry

Salida Municipal Advisory Council

Salida

South Modesto Municipal Advisory Council

South Modesto

Valley Home Municipal Advisory Council

Valley Home

D-5

Outreach Technical Memorandum

APPENDIX E: FAITH-BASED/CHURCH SURVEY LETTER FAITH-BASED/CHURCH SURVEY QUESTIONNAIRE LIST OF FAITH-BASED/CHURCH ORGANIZATIONS CONTACTED FAITH-BASED/CHURCH SURVEY RESPONSE MATRIX

E-1

Outreach Technical Memorandum

E-2

Outreach Technical Memorandum

E-3

Outreach Technical Memorandum

E-4

Outreach Technical Memorandum

LIST OF FAITH-BASED/CHURCH ORGANIZATIONS CONTACTED Faith Based Organization St Jude's Catholic Church Ceres Christian Church Grace Community Christian Church Harvest Presbyterian Church Church of Christ First Baptist Church of Ceres Seventh-Day Adventist Church Jehovah's Witnesses South Ceres Valley View Church Valley Christian Center Living Hope Foursquare Church First Missionary Baptist Church United Pentecostal Church First Southern Baptist Church St George Church Village Chapel Free Will Baptist Bethel Tabernacle Potter's House Gospel Tabernacle Church of Christ Mountain View Baptist Church Fountain of Life Ministery Seventh-Day Adventist Community Service Centers Renaissance Christian Center Echoes of Praise Pentecostal Church of God Ceres Jesus Town Church The Church of Love Harvest Community Church Church of the Nazarene Denair Bilingual Seventh Day Gateway Community Church-Denair Denair Friends Church First Baptist Church Church of Christ Church of Christ Apostolic Assembly Empire Assembly of God Hickman Community Church Church of Jesus Christ of LDS St Anthony's Catholic Church Free Will Baptist Church Church of Christ First Baptist Church-Hughson Sovereign Grace Community Church St Mary Holy Apostolic Church Hughson United Methodist Church LDS Church Singles Ward Spears EL Rev Kingdom Hall of Jehovah's Kingdom Hall-Jehovah's Witness Pentecostal Church of God Harmony Primitive Baptist Church Hughson Missionary Baptist Church Northern California Sikh Soc Betesda Asamblea De Dios Sikh Temple Three Rivers Christian Fellowship Keyes Assembly of God Church Keyes Pentecostal Church-God First Baptist Church Keyes Keyes Christian Academy Knights Ferry Community Church Lake Don Pedro Baptist Church Universal Life Church Church of Christ St Joseph's Catholic Church First United Methodist Church First Baptist Church-Modesto St Stanislaus Catholic Church True Love Family Church La Loma Grace Brethren Church Greek Orthodox Church Church of Jesus Christ of Latter-Day Saints: Saints-Mormon Modesto Church of the Brethren Emanuel Lutheran Church Our Lady of Fatima Church Central Baptist Church Modesto Covenant Church St Pauls Church Calvary Baptist Church

E-5

City Ceres Ceres Ceres Ceres Ceres Ceres Ceres Ceres Ceres Ceres Ceres Ceres Ceres Ceres Ceres Ceres Ceres Ceres Ceres Ceres Ceres Ceres Ceres Ceres Ceres Ceres Ceres Crows Landing Denair Denair Denair Denair Denair Denair Empire Empire Empire Hickman Hughson Hughson Hughson Hughson Hughson Hughson Hughson Hughson Hughson Hughson Hughson Hughson Hughson Hughson Hughson Hughson Hughson Hughson Hughson Keyes Keyes Keyes Keyes Knights Ferry La Grange Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto

Outreach Technical Memorandum

LIST OF FAITH-BASED/CHURCH ORGANIZATIONS CONTACTED (CONTINUED) Faith Based Organization Trinity United Presbyterian Church Big Valley Grace Community Church Seventh-Day Adventist Church Bethel Church Foursquare Gospel Church Free Methodist Church Church of Jesus Christ of Latter-Day Saints the: Riverbank Ward Bishop's Office College Ave Congregational Church Church of Christ Orangeburg Avenue Baptist Church Unity Church of Modesto Amistad Cristiana Church Dunkard Brethren Church Seventh-Day Adventist Church Prescott Evangelical Free Church St James Orthodox Church St Peter Lutheran Church Centenary United Methodist Church First Christian Reformed Church First Apostolic Christian Grace Orthodox Presbyterian Church of Christ United Pentecostal Church Calvary Lutheran Church Mill Creek Church Geneva Presbyterian Church Christian Love Baptist Church North Modesto Church of God Maze Boulevard Christian Church Modesto Spanish SDA Church Shelter Cove Community Church Bible Baptist Church Eastridge Community Church Seed of Joy Church Sovereign Grace Baptist Church Liberty Landmark Missionary Baptist Church Trinity Reformed Church Northside Baptist Church Tully Road Missionary Baptist Church Church of Jesus Christ of Latter-Day Saints Church of the Cross Neighborhood at River Ranch Church Commodity Supplement Food Liberty Baptist Church Salvation Army Christ Community Church Jehovah's Witnesses East Universal Church Victory In Praise Church Sherwood Bible Church Kingdom Hall-Jehovah's Witness Calvary Temple Assembly of God Modesto Gospel Mission Grace Lutheran Church Apostolic Jubilee Center Central Congregation-Jehovah's Victory Assemblies of God Kingdom Hall-Jehovah's Witness Redeemer Church Hope Bilingual Baptist Church Victory Life Center Richland Faith Assembly of God Community of Christ Community Assembly of God Calvary Chapel of Modesto Living Faith Community Church Baptist Temple Dominion Christian Center Kingdom Hall-Jehovah's Witness Unitarian Universalist Fellowship of Stanislaus County Dale Road Chapel Congregations Building Community Church of Jesus Christ The Victory Outreach Crosswalk Community Church Carpenters House Iglesia De Cristo Cristo De Esperanza De Gloria E-6

City Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto

Outreach Technical Memorandum

LIST OF FAITH-BASED/CHURCH ORGANIZATIONS CONTACTED (CONTINUED) Faith Based Organization Church of Christ The Grace Baptist Fellowship Prayer Mission Church of God Calvary Pentecostal Church-God Emmanuel Baptist Church Trinity Baptist Church Victory in Praise Church United Pentecostal Church Westside Seventh Day Adventist Church Full Gospel Truth Church Central Ave General Baptist Church of Ceres Korean United Church St John Bosco Roman Catholic First Pentecostal Church-God Airport Mssnry Baptist Church Grace Landmark Baptist Mission Second Baptist Church Office Anchor Baptist Church Celebration Center Greater True Light Baptist Church New Bethany Missionary Baptist Church Progressive Missionary Baptist Church Trinity Church of the Nazarene First Christian Methodist Church St Paul Missionary Baptist Church Church of Jesus Christ of Latter-Day Saints The ESPERANZA EN EL CALVARIO Bethel Bible Church Christian Science Church First Christian Church Herald General Baptist Church Christ Unity Baptist Church Free Will Baptist Church New Beginings Westside Neighborhood Church Faith Temple Missionary Baptist Church La Vina Del Senor Full Gospel Tabernacle Iglesia Bautista Emanuel El Buen Samaritano Bible Way Tabernacle New Life Christian Church Prunty Bob Greater Zion Missionary Baptist Centre Pointe Christian Center Airport Assembly of God Friendly Tabernacle Alcance Victoria Sunshine Tabernacle Baha'i Faith Regional Center Destiny Christian Center Templo Rosa Saron Cristo El Nuevo Pacto Iglesia Pentecostal Unida St Zaia Modesto Christian Center Iglesia Del Valle Central Bible Baptist Academy Creative Life Center St Germain Foundation I AM Saint James African Methodist Episcopal Church Mision Apostolica Abundant Life Christian Center Garden Wedding Chapel Ram Naam Mandali of Modesto Ca New Hope Christian Fellowship Second Baptist Church Food Bank Pentecostal Holiness Church Calvary Chapel Modesto St Johns Chapel of the Valley Church of Jesus Christ of Latter Day Saints El Calvario Christian Fellowship Iglesia Bautista El Calvario Holy Family Church New Harvest Christian Fellowship Orchard Valley Christian Church

E-7

City Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto

Outreach Technical Memorandum

LIST OF FAITH-BASED/CHURCH ORGANIZATIONS CONTACTED (CONTINUED) Faith Based Organization Seventh-Day Adventist Churches Anchor Baptist Church Victorious Productions Ministry of Christ Holy Family Church Valley Christian Center Wesley United Methodist Church Grace Worship Center Watt Cambodian Buddhist Association Bible Fellowship Ministries Of God Mission Mary Mother Soul Harvest Worship Center Old German Baptist Church Victory Faith Center Faith Missionary Baptist Church Yosemite Bingo Greater Glory Missionary Baptist Church Maranatha Christian Fellowship Empire Church of the Brethren Liberation Baptist Church Victory In Praise Church Central Baptist Church Victory Outreach Mill Creek Church Overholtzer Church Interiors Emanuel Lutheran Church-Day Cr Community Supplement Food Program Sovereign Grace Baptist Church The Rock Church Neighborhood Church At River Ranch Southside Church of God Overcomers Through Christ Church Romanian Betel Church of God VIO Tororosa Church First Baptist Church of Newman Kingdom Hall-Jehovah's Witness St Joachim's Catholic Church Orestimba Presbyterian Church St James Lutheran Church United Methodist Church of Merced Newman church of Christ Church of Christ Church of Jesus Christ of LDS Oakdale Church of the Nazarene River Oak Grace Community Church Sierra Baptist Church Oakdale Community Church Community Christian Reformed Church Seventh-Day Adventist Church St Mary's Catholic Church Kingdom Hall-Jehovah's Witness Living Hope Christian Fellowship Oakdale Christian Church First Missionary Baptist Church First General Baptist Church Oak Valley Church Sierra Foothills Community Church Community United Methodist Church First Baptist Church St Matthias Episcopal Church Church of Christ St Luke Lutheran Church Apostolic Assembly by the Faith in Jesus Christ River Christian Community The True Vine Apostolic Fellowship Truth Tabernacle People's Church of Modesto Valley Home Baptist Church Bethel Assembly of God Church of Jesus Christ of Latter Day Saints New Home Foursquare Church Church of Christ Federated United Methodist Church Sacred Heart Church First Baptist Church Our Savior’s Lutheran Church Patterson Christian Fellowship E-8

City Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Modesto Newman Newman Newman Newman Newman Newman Newman Oakdale Oakdale Oakdale Oakdale Oakdale Oakdale Oakdale Oakdale Oakdale Oakdale Oakdale Oakdale Oakdale Oakdale Oakdale Oakdale Oakdale Oakdale Oakdale Oakdale Oakdale Oakdale Oakdale Oakdale Oakdale Oakdale Oakdale Oakdale Oakdale Patterson Patterson Patterson Patterson Patterson Patterson Patterson

Outreach Technical Memorandum

LIST OF FAITH-BASED/CHURCH ORGANIZATIONS CONTACTED (CONTINUED) Faith Based Organization Kingdom Hall of Jehovah's New Hope Church of Nazarene Patterson Covenant Church Agape Baptist Church Family Christian Center Ward Ave Baptist Church Iglesia El Sinai Sacred Heart Catholic Church Preschool Key Ministries West Christian Community AOG United Pentecostal Church Donnelly Church Publications Church of the Nazarene Church of God of Prophecy Dry Creek Community Church Christ the King Community Episcopal Church United Methodist Church St Frances of Rome Church Riverbank Assembly of God New Hope Church Ministries Free Holiness Church Claus Road Baptist Church First United Pentecostal Church First Missionary Baptist Church Abundant Life PC of God Riverbank church of Christ United Brethren In Christ Vineyard of Grace & Mercy Church Bridge Covenant Church Living Water Bible Church Salida Christian Fellowship First Baptist Church of Salida First Congregational Church Harvest Valley Church Apostolic Temple St Stanislaus Church Salida Living Water Bible Church Church of Jesus Christ of LDS Our Lady of the Assumption Enclave Community Church Free Methodist Church Sacred Heart Catholic Church Church of Christ Church of Jesus Christ of LDS Cornerstone Covenant Church Sunrise Christian Church Valley Hope Community Church First United Methodist Church Good Shepherd Lutheran Church Turlock Covenant Church Light of Christ Lutheran Church All Saints Catholic Church St Francis Episcopal Church Calvary Baptist Church Assyrian Pentecostal Church First Presbyterian Church Seventh-Day Adventist Church Assyrian Evangelical Church St Thomas Assyrian-Chaldean Catholic Church: Social Hall Crossroads Church Spiritual Science Church 4 Sacred Heart Catholic Church St Thomas Assyrian-Chaldean Catholic Church Harvest Christian Center New Life Christian Center St John's Assyrian United Church Salvation Army Free Will Baptist Church Kingdom Hall-Jehovah's Witness Monte Vista Chapel Turlock Bible Baptist Church Living Faith Fellowship Central Valley Southern Baptist Westside Ministries Turlock Grace Tabernacle Church of Jesus Christ of Latter-Day Saints The Sikh Temple E-9

City Patterson Patterson Patterson Patterson Patterson Patterson Patterson Patterson Patterson Patterson Patterson Patterson Riverbank Riverbank Riverbank Riverbank Riverbank Riverbank Riverbank Riverbank Riverbank Riverbank Riverbank Riverbank Riverbank Riverbank Riverbank Riverbank Riverbank Salida Salida Salida Salida Salida Salida Salida Salida Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock

Outreach Technical Memorandum

LIST OF FAITH-BASED/CHURCH ORGANIZATIONS CONTACTED (CONTINUED) Faith Based Organization King's Way Rocky Tenrikyo Church Geer Road Chapel Mitchell Community Church Turlock Christian Life Center Missionary Gospel Fellowship Inc Berkeley Ave Baptist Church First Baptist Church First Christian Church-Turlock Assyrian Church of the East Calvary Chapel Turlock Cortez Presbyterian Church Our Lady of the Assumption: Rectory Temple of Jordan Holy Ground Ministry New Life Temple Iglesia Del Pacto De Turlock Four Seasons Christian Fellowship Life Tabernacle Association Calvary Temple Baptist Church Turlock Community Fellowship Church of Christ Church of Christ Sacred Heart Catholic Church: Spanish Office United Pentecostal Church Holy Cross Armenian Apostolic Church Sacred Heart Catholic Church: Spanish CCD Seventh-Day Adventist Community Fellowship Bible Chapel Bethel Harp Center Apostolic Assembly Church India Friendship Center Joe Chavez Pastor Zion Family Worship Center Drush Jas Rev Nazareth Lutheran Church Baha'i Faith North Side Assembly of God Mountain View Baptist Church Latin Mass Of The Diocese Of Stockton Full Gospel Assembly Assyrian Evangelical Church Family Bible Center Turlock House Church Waterford Church-The Brethren Community Baptist Church Church of Christ Landmark Missionary Baptist Church First Southern Baptist Church Waterford Assembly of God Kingdom Hall-Jehovah's Witness Seventh-Day Adventist Church Apostolic Assembly Church Waterford Church of Christ Kingdom Hall-Jehovah's Witness

E-10

City Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Turlock Waterford Waterford Waterford Waterford Waterford Waterford Waterford Waterford Waterford Waterford Waterford

Outreach Technical Memorandum

E-11

Outreach Technical Memorandum

E-12

Outreach Technical Memorandum

APPENDIX F: ENGLISH AND SPANISH CONSUMER SURVEY QUESTIONNAIRES CONSUMER SURVEY RESPONSE MATRICES (7) BY TOTAL AND BY AGE GROUPS

F-1

Outreach Technical Memorandum

F-2

Outreach Technical Memorandum

F-3

Outreach Technical Memorandum

F-4

Outreach Technical Memorandum

F-5

Outreach Technical Memorandum

F-6

Outreach Technical Memorandum

F-7

Outreach Technical Memorandum

F-8

Outreach Technical Memorandum

F-9

Outreach Technical Memorandum

F-10