The City of Gloversville is gathering information to improve the availability of public transportation services in Fulton and Montgomery Counties. As part of this study, a survey of riders and potential user of the services are being conducted. Your participation in the survey is completely voluntary and there are no risks to participation. You may skip any questions you are not comfortable answering.

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* 1. In the past 12 months, what types of transportation have you used? (check all that apply)

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* 2. Where do you live?

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* 3. Which of the following are your most commonly visited destinations? (check all that apply)

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* 4. Which of the following are the specific destinations to which you go? (check all that apply)

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* 5. When you travel locally, where do you go most often for shopping, services and/or recreation? (check all that apply)

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* 6. When do you need transportation? (check all that apply)

  12AM to 6AM 6AM to 8AM 8AM to 12PM 12PM to 3PM 3PM to 6PM 6PM to 9PM 9PM to 12AM
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

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* 7. Which of the following transportation providers are you aware of and/or use in your area? (check all that apply)

  Aware of Use
Gloversville Transit System
Amsterdam Community Transit
Montgomery Area Xpress (MAX)
Human Service Agency Transportation
Other

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* 8. Are there other transportation providers you are aware of and/or use?

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* 9. If you are not currently using Gloversville Transit, Amsterdam Community Transit, or MAX is it because:

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* 10. If public transportation was easy to use and available to you and/or your family, which of the following would cause you to use the service? (please select only one)

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* 11. Do you or a family member need transportation outside of Fulton or Montgomery Counties?

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* 12. For what purpose do you need transportation outside of Fulton and Montgomery Counties? (check all that apply)

  Daily Weekly Monthly Occasionally
Medical
Employment
Shopping
Recreational/Social
Other

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* 13. How old are you?

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* 14. Do you have a disability which requires you to use a cane, walker, wheelchair, and/or anything else to help you get around?

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* 15. Which of the following descriptions BEST applies to you? Are you presently: (please select only one)

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* 16. If you work OUTSIDE of your home, who is your employer?

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* 17. Where is your employer located?

Thank you for participating in the survey!

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