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Attachment 3

Nevada Department of Transportation

Sample Survey Instrument

OPTIONAL QUESTION

Please circle ↓

Name:[ Mr. or Ms. ] ______________________________________________________________
Company Name: ________________________________________________________________
Street, City, State, Zip Code: ______________________________________________________
Phone #: ______________ Fax #: ___________________ E-mail: ________________________

SPECIFIC INFORMATION

1. Have you taken any educational or training courses directly related to your business?

checkbox Yes (if yes, please specify the description of training, training quality, and indicate if the training was NDOT-sponsored)

checkbox No

  Training Quality
Please Check
   
  Description of Training Outstanding Very Good Fair Poor Very Poor   Was the training
NDOT-sponsored?
Please Circle.
1               Yes No
2               Yes No
3               Yes No
4               Yes No

Comments: ___________________________________________________________________________

2. How interested would you be in attending a NDOT-sponsored construction-related training class?

checkbox Very Interested checkbox Somewhat Interested checkbox Not at all Interested

3. If you wanted to take a training class(es) related directly to your construction work with NDOT, what topic(s) would you like to learn about?

________________________________________ ________________________________________

________________________________________ ________________________________________

________________________________________ ________________________________________

4. How interested would you be in attending a NDOT-sponsored administrative/general subjects training class?

checkbox Very Interested checkbox Somewhat Interested checkbox Not at all Interested

5. If you wanted to take an administrative/general subjects training class(es) with NDOT, what topic(s) would you like to learn more about?

________________________________________ ________________________________________

________________________________________ ________________________________________

________________________________________ ________________________________________

6. If you would like to take a training semester, where would you like it to be held?

checkbox Las Vegas checkbox Reno or Carson City checkbox Elko
checkbox Other location [Please specify.] ____________________________

7. What month(s) would be the best time to hold a training class? [Please check ALL boxes that apply.]

checkbox January checkbox February checkbox March checkbox April
checkbox May checkbox June checkbox July checkbox August
checkbox September checkbox October checkbox November checkbox December

8. What day of the week is best for you to attend a training course?

checkbox Monday checkbox Tuesday checkbox Wednesday checkbox Thursday
checkbox Friday checkbox Saturday checkbox Sunday  

9. When would be the best time of day for you to take a training class?

checkbox Morning checkbox Afternoon checkbox Evening  

10. What length of training program would you like best?

checkbox Up to One Hour checkbox 1-2 Hours checkbox 3-4 Hours checkbox 5-6 Hours
checkbox 7-8 Hours      

11. How much would you be willing to pay if you attended a NDOT-sponsored training seminar?

checkbox Nothing checkbox Up to $49 checkbox $50-$99 checkbox $100-$149
checkbox $150-$199 checkbox $200-$249    

12. When would be the best time of day for you to take a training class?

checkbox Mail checkbox Phone checkbox Fax checkbox E-mail

GENERAL INFORMATION ABOUT YOU

13. Type of Licensed Contractor. [Please check ALL boxes that apply.]

checkbox Electrical checkbox Plumbing checkbox Traffic Control
checkbox Structural Engineer checkbox Asphalt/Concrete checkbox Excavator
checkbox Civil/Traffic Engineer checkbox Structural Engineer checkbox General Engineer
checkbox Surveying/Mapping checkbox General Contractor checkbox Architect
checkbox Trucking checkbox Landscape checkbox Drilling (i.e., wells, etc.)
checkbox HVAC checkbox Fiber Optics checkbox Underground Construction
checkbox Other _________________________________________________________________________

14. How long has your company been in business?

checkbox Less than 1 year checkbox 1-5 years checkbox 6-10 years checkbox 11-15 years
checkbox 16-20 years checkbox 21+ years    

15. How many people do you employ (not including yourself)?

checkbox 0-5 checkbox 6-10 checkbox 11-15 checkbox 16-20
checkbox 21-25 checkbox 26+    

16. How long have you been certified as a Disadvantaged Business Enterprise?.

checkbox Less than 1 year checkbox 1-2 years checkbox 3-4 years checkbox 5 or more years

Do you have any suggestions/other comments related to training? _________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________

Again, thank you for your input!

1 Have you received any assistance from FDOT Disadvantaged Business Enterprise (DBE) Supportive Services Provider(s)? YES NO COMMENTS N/A  
    95
36%
188
64%
  3  
3 Does your firm have a current business/marketing plan specifically designed to meet youur operational goals and objectives? 168 96   3  
5 Do you attend the annual DBE conferences in your area? 64% 36% See Attached. 1  
93 170
6 Do you attend any of the District Quarterly Contractors meetings? 35% 65% See Attached. 1  
47
18%
217
82%
7 Have you bid as a prime contractor or consultant on an FDOT project within the last two (2) years? 68
26%
197
74%
  1  
8 Have you bid as a subcontractor or sub-consultant on a FDOT project within the last two (2) years? 170
64%
96
36%
  1  
4 Who assissted your firm with developing your business/marketing plan? Chister Management Systems, Inc. Blackmon-Roberts Group Company Staff Other N/A
11 16 100 59 29
    SERVICE PROVIDER RANKING
2 The DBE Supportive Services Providers and the districts they serve are listed below. How would you rate the services you received from the provider in your district? Rank the service provider from one (1) to five (5), with one being the lowest and five the highest. 1 2 3 4 5
Chister Management Systems, Inc. Northern Region - Districts 2, 3, 5, 8, 7 20 13 16 11 14
Blackmon-Roberts Group Southern Region - Districts 1, 4, & 6 18 11 16 12 26
Florida A&M University Construction Management Development/Bond Guarantee 21 5 8 6 5
12 What do you see as the major barrier(s) hindering participation of your firm in FDOT projects? Rank the major barrier(s) from one (1) to five (5), with one being the lowest and five being the hightest. 1 2 3 4 5
Bonding 26 12 8 13 29
Financing 36 12 11 17 27
Equipment 40 19 11 8 5
Race 33 13 7 10 12
Gender 41 8 14 6 11
Contact Size 27 14 15 22 21
Other (See attached.) 5 2 6 7 35
9 Have you bid as a prime contractor or consultant with other government agencies? Check all that apply. CITY COUNTY      
139 145
10 Have you bid as a subcontractor or subconsultant with other government agencies? Check all that apply. 160 178      
11 Check the type of project that your firm primarily conducts work. Construction Maintenance Professional Service Transit Aviation
112 34 143 14 17
13 Please rate your experiences with the DBE certification process, any comments or suggestions on how FDOT can improve the process. See Attached.        
14 Describe below what you think FDOT can do to assist your firm with obtaining/improving contracting opportunities for DBEs. See Attached.        
15 What is your e-mail address? See Attached.        

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