8.17.22 OUTBoard Packet - Laserfiche WebLink

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Orange County Transportation Services ADA Paratransit Plan Orange County Planning Department Page 31 ☐accessible median ☐not more than (enter #) lanes of traffic ☐nothing I cannot make my way across ground which is: ☐paved or sidewalk ☐grassy ☐gravel ☐hilly My ability to access transportation is affected by weather which is: ☐warm (above degrees) ☐cold (below degrees) ☐rainy ☐icy ☐windy My ability to access transportation is depended on the time of day. I cannot see in: ☐full daylight ☐partial light ☐darkness/semi-darkness My ability to access stairs is as follows. I can manage: ☐only one or two steps ☐only steps with a handrail ☐no steps The distance I can travel to and from bus stops by myself or with the assistance of a mobility aid is: ☐no more than 150 feet ☐at least one block ☐no more than one block ☐at least five blocks ☐at least eight blocks ☐more than five blocks I can wait at a bus stop without a bench: ☐no more than minutes ☐at least an hour The bus stops which I can access: ☐must be stops for which I have received formal travel training ☐must be only in areas familiar to me I travel: ☐alone ☐both alone and with a companion ☐only with an attendant or companion (this does not affect your eligibility for service) If you travel with someone who assists you, does this person assist you in: ☐getting to or from bus stop ☐getting on or off the bus ☐helping you at your destination ☐Other (please describe): I can cross a street with: ☐2-3 lanes ☐4-6 lanes ☐I cannot cross If you cannot cross, please explain why not List your 2-3 most frequent destinations and how you currently get there: Destination Frequency of Travel How you get there now 41