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| Who is your transportation provider? |
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| Household composition, Do you live: |
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| How did you learn about this transportation service? |
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| On average, how many times a month do you use this transportation service? |
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| Do you have any other means of transportation? |
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| Do you use this transportation service mostly to get to: Please check all that apply |
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How would you rate the friendliness and courtesy of the drivers?
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| How satisfied are you with the vehicles in terms of comfort, cleaniness and your ability to get on and off? |
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| When you call to schedule a ride, how often do you experience lengthy delays in having the telephone answered? |
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| How often do you have to re-schedule medical appointments because you cannot get a ride at the time and or day that you need? |
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| Is your driver on time picking you up from your home? |
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| Is your driver on time picking you up to take you home? |
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| What is the longest time you have had to wait for a driver to pick you up? |
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| Are you aware that you can make a donation toward the ride if you wish? |
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| Overall, how would you rate this transportation service? |
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| Do you have any recommendations for improving this transprotation service? |
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