National Evaluation of a Mileage Based Road User Charge

Na tion al E val uati on of a Mile ag e-B as ed Roa d U ser Ch arg e
Qu e stio nna ire 3
PAPERWORK BURDEN DISCLOSURE NOTICE
This collection of information is voluntary, and will be used to assess your acceptance of the National
Evaluation of a Mileage-Based Road User Charge. Public reporting burden for this questionnaire is estimated
to average 15 minutes. The burden estimate includes the time for reviewing instructions, searching existing
data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. Your responses will be kept confidential to the extent permitted by law. The OMB control
number for this collection is 2125-XXXX (state OMB #). Send comments regarding this burden estimate or
any other aspect of this collection of information, including suggestions for reducing this burden to:
Information Collection Clearance Officer, Federal Highway Administration, 400 Seventh Street, SW,
Washington, DC 20590.

We would like to get an idea of your opinions about environmental issues. Please indicate the
extent to which you agree or disagree with each of the following statements:
1. All living beings (micro-organisms, plants, animals, and humans) are interdependent.
 Strongly agree
 Somewhat agree
 Neither agree nor disagree
 Somewhat disagree
 Strongly disagree
2. The world climate will change drastically if carbon dioxide continues to be released into the
atmosphere at the rate it is now.
 Strongly agree
 Somewhat agree
 Neither agree nor disagree
 Somewhat disagree
 Strongly disagree
 Don’t know
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3. The speed limits on freeways should be 65 mph.
 Strongly agree
 Somewhat agree
 Neither agree nor disagree
 Somewhat disagree
 Strongly disagree
 Don’t know
4. I prefer to drive only if absolutely necessary (i.e., if no other mode of transportation is
available).
 Strongly agree
 Somewhat agree
 Neither agree nor disagree
 Somewhat disagree
 Strongly disagree
5. My next automobile will be as small and environmentally friendly as possible.
 Strongly agree
 Somewhat agree
 Neither agree nor disagree
 Somewhat disagree
 Strongly disagree
 Don’t know
6. I believe it is important to recycle paper.
 Strongly agree
 Somewhat agree
 Neither agree nor disagree
 Somewhat disagree
 Strongly disagree
7. In winter I keep the heat high so that I do not have to wear a sweater.
 Strongly agree
 Somewhat agree
 Neither agree nor disagree
 Somewhat disagree
 Strongly disagree
 Don’t know
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8. I believe it is important to be a member of an environmental organization.
 Strongly agree
 Somewhat agree
 Neither agree nor disagree
 Somewhat disagree
 Strongly disagree
 Don’t know
We would like to ask you a few more environmental questions. Please indicate the frequency to
which you do the following statements:
9. When possible I use public transportation or ride a bike.
 Always
 Most of the time
 Sometimes
 Hardly ever
 Never
10. Please include anything else that you would like to share about the environment that was not
included above:

In order to understand how much detail you would like to see in your road- user charge statement,
we have been sending you monthly road-user charge statements. By now, you should have received
several statements. Please refer to them when answering the following questions.
11. How often would you prefer to receive road-user charge statements?
 Monthly
 Every 2 months
 Every 3 months
 Every 6 months
 Every 12 months
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12. How desirable or undesirable was the level of detail in the road-user charge statement?
 Highly desirable
 Desirable
 Neither desirable nor undesirable
 Undesirable
 Highly undesirable
 Don’t know
13. Please tell us the reasons behind your last 2 answers.

The following questions are about contacting the study team at the Public Policy Center.
14. Have you had any problems with the on-board computer so that you had to contact the study
team at the Public Policy Center?
 Yes
 No
15. Have you had other questions where you had to contact the study team at the Public Policy
Center?
 Yes
 No
If you answered yes to question 18 or 19, please answer the following two questions.
16. How satisfied or dissatisfied were you with how easy it was to contact the study team at the
Public Policy Center?
 Highly satisfied
 Satisfied
 Neither satisfied nor dissatisfied
 Dissatisfied
 Highly dissatisfied
 Don’t know
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17. How satisfied or dissatisfied were you with the response of the study team at the Public
Policy Center?
 Highly satisfied
 Satisfied
 Neither satisfied nor dissatisfied
 Dissatisfied
 Highly dissatisfied
 Don’t know
18. Please include any additional comments about the study team at the Public Policy Center:

VERY IMPORTANT
PLEASE PROVIDE YOUR PARTICIPANT ID
NUMBER BELOW TO ENSURE THAT WE
CAN MAIL YOU YOUR COMPENSATION
PAYMENT PROMPTLY.
For assistance please call 866-363-1975.
PARTICIPANT ID # ___________________________________________________

Thank you for completing this questionnaire.
Please return your survey in the enclosed envelope to:
The University of Iowa
Public Policy Center
227 South Quad
Iowa City, IA 52242-1192

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