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Orange County Transportation Services ADA Paratransit Plan <br /> <br />Orange County Planning Department Page 30 <br /> <br />and note whether your condition is temporary or permanent and if it is episodic in nature (i.e. do you <br />have “good days” or times when you can access transportation and “bad days” when you cannot?) <br />(OTH) <br /> <br /> <br /> <br />The condition is ☐temporary ☐permanent <br /> <br />☐I am declining with functional losses due to aging. I feel I am not able to access regular bus service <br />due to the following limitations: (OTH) <br /> <br /> <br /> <br />The condition is ☐temporary ☐permanent <br /> <br />☐My functional limitations do not fit into any of the above categories. I am unable to use regular bus <br />service because: (OTH) <br /> <br /> <br /> <br />The condition is ☐temporary ☐permanent <br /> <br />☐Are you involved in any programs or training which will have an impact on your ability to use <br />public transportation? If so, please describe. <br /> <br /> <br />TRANSPORTATIONS NEEDS, ENVIRONMENTAL OR INDIVIDUAL FACTORS <br />Do you currently use any regular fixed-route bus services? ☐Yes ☐No <br /> <br />If yes, which routes? <br /> <br />Can you get to the bus stop by yourself? ☐Yes ☐No <br /> <br />If no, what limits you from getting there? <br /> <br />Please check any of the following which are applicable to your situation. <br /> <br />If I am waiting outside at a bus stop, I must have: <br />☐a bench ☐a shelter ☐nothing additional <br />When crossing a street, I need: <br />☐curb cuts ☐tactile curb warnings ☐audible signals <br />40