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Outreach Technical Memorandum i

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Outreach Technical Memorandum

i

Outreach Technical Memorandum

i

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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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

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• 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 MEETING TIME MEETING PLACE NUMBER OF ATTENDEES

October 22, 2008 10:00 am and 1:00 p.m. Modesto 11/2 October 23, 2008 10:00 a.m. Ceres 1 October 23,2008 2:00 p.m. Oakdale 1 October 28, 2008 2:30 p.m. Patterson 0 October 29, 2008 10:00 a.m. and 1:00 p.m. Modesto 8/6 November 5, 2008 1:00 p.m. Turlock 2 November 6, 2008 2:30 p.m. Newman 1 November 13, 2008 2:30 p.m. Riverbank 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)?

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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

• What percentage of your clients is housebound and cannot go out without assistance?

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.

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:

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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-through-door 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.

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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

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 Not Provided 5,000 Not Provided

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 program-specific travel

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

Budget internally from program related client funds

$6,000 350 Not Provided

Home In Stead Senior Care

Staff drive own vehicles (reimbursed for mileage

Seniors Modesto, Patterson, Turlock Riverbank

Costs are passed through to clients served

Costs are passed to

clients served 18 1,800

Geriatric Home Care Specialists

Staff drive own vehicles Gas vouchers for clients

55 years and older Modesto, Patterson, Turlock, Oakdale, Hughson

Not Provided Not Provided Not Provided Not Provided

Davis Guest Home Staff driving agency vehicle

Chronically mentally ill

Modesto, Ceres Not Provided Not Provided 160 Not Provided

Link 2 Care 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

Catholic Charities Assisted Transportation

Volunteer driver pool - mileage reimbursement Staff driving agency vans

60 year and older

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

Not Provided Not Provided 261 5,581

Stanislaus ARC

Staff driving own vehicles Staff driving agency vehicle Contract with Storer

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

TOTALS 17,620 205,000

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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 fixed-route 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.

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.

Table 6.1 - AGE PROFILE OF RESPONDENTS Age Group # of Respondents % of Total

Under 55 years of age 154 12.34% 55-60 years of age 69 05.53% 61-65 years of age 125 10.02% 66-70 years of age 163 13.06% 71-75 years of age 167 13.38% Over 75 years of age 570 45.67%

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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 # of Respondents

Drive own car 498

Public transit/bus 255

Dial-a-Ride 270

Family Member or Friend 621

Taxi 54

Service provided by social service agency 80

Other 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 # of Respondents

Have never used it 282

Need help traveling 222

Not convenient 189

Does not go where I live or need to travel 187

Have a car or still drive 176

Not aware of available service 98

Too expensive 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,

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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

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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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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

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LIST OF STAKEHOLDER AGENCIES CONTACTED

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

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LIST OF SENIOR DISABLED LIVING FACILITIES

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

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LIST OF SENIOR DISABLED LIVING FACILITIES (CONTINUED)

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

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APPENDIX B: TRANSIT NEEDS ASSESSMENT STUDY FACT SHEET

STAKEHOLDER GROUP MEETING OBJECTIVES

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APPENDIX C: AGENCY TRANSPORTATION SERVICES MATRIX

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Outreach Technical Memorandum

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APPENDIX D: MUNICIPAL ADVISORY COUNCIL SURVEY LETTER

MUNICIPAL ADVISORY COUNCIL SURVEY QUESTIONNAIRE LIST OF MUNICIPAL ADVISORY COUNCILS CONTACED

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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

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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

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LIST OF FAITH-BASED/CHURCH ORGANIZATIONS CONTACTED

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

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LIST OF FAITH-BASED/CHURCH ORGANIZATIONS CONTACTED (CONTINUED)

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

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LIST OF FAITH-BASED/CHURCH ORGANIZATIONS CONTACTED (CONTINUED)

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

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LIST OF FAITH-BASED/CHURCH ORGANIZATIONS CONTACTED (CONTINUED)

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

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LIST OF FAITH-BASED/CHURCH ORGANIZATIONS CONTACTED (CONTINUED)

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

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LIST OF FAITH-BASED/CHURCH ORGANIZATIONS CONTACTED (CONTINUED)

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

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Outreach Technical Memorandum

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Outreach Technical Memorandum

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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

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