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Human Services Transportation Plan Survey
Public Transportation Customer
1.
Please indicate your age group.
Age 16 to 21
Age 22 to 31
Age 32 to 41
Age 42 to 51
Age 52 to 61
Age 62 +
Do not wish to disclose
2.
Are you currently homeless or do not have a permanent residence?
Yes
No
3.
Are you currently employed?
Yes
No
4.
Please list the zip codes in which you currently live and work.
Home Zip Code
Work Zip Code
5.
Are you able to drive?
Yes
No
6.
How often are you unable to get to where you need to go because of not having a way to get there?
Rarely or Infrequently
Several times a year
About once a month
More than once a month
Once a week or more often
7.
How far do you travel to the grocery store or food pantry (one-way trip)?
5 miles or less
Between 5 and 10 miles
More than 10 miles
8.
Have you lost a job or had problems finding a job in the last two years due to a lack of transportation?
Yes
No
9.
What means of transportation do you use currently? Check all that apply.
My Own Vehicle
Family or Friend's Vehicle
Taxi or Uber/Lyft
Public Transit Van
Walk
Bicycle
Van or Bus Service Provided by a Service Agency
Other (please specify)
10.
Do you use public transportation services?
Yes
No
11.
If you answered YES to question 10, for what reasons do you use public transportation? Please check all that apply.
Work
School/College
Child Care
Errands/Shopping
Medical Care
Friends and Family
Grocery Store/Food Pantry
Recreation
Restaurants
Religious Services
Other (please specify)
12.
If you answered NO to question 10, what are some of the reasons you do not use public transportation? Please check all that apply.
No reliable service available
Schedule of available services not relevant to my schedule
I can’t because of my age
Cost is too much
Not aware of any service that is currently available in my area
Scheduling or paying is inconvenient or difficult to do
13.
What would you consider to be a fair price to pay for a round-trip within Camden, Morgan, Miller, or Laclede County?
Up to $5
$6 to $10
More than $10