4 County Community Transportation Planning Team

Question Title

* I need transportation because: (Choose all that apply.)

I am an elder or senior citizen, and I don't drive

I am disabled

I am homeless

I am too ill to drive

I don't have a car

I don't have a driver's license

I don't have auto insurance

I am not old enough to drive

Other (please specify)

Question Title

* I currently use the following means for transportation: (Choose all that apply)

Medical(Coupon)Transportation

Hope Source

GTA Transit

My Vehicle

People For People

Central Transit

Senior Services Transportion

Taxi Service

Other service provider makes available bus pass, gas voucher or other form of service

Family, Friends, or Volunteers

Other (please specify)

Question Title

* I need transportation to: (Number your top 3 choices)

	1st Choice	2nd Choice	3rd Choice
Banking	Banking 1st Choice	Banking 2nd Choice	Banking 3rd Choice
Childcare	Childcare 1st Choice	Childcare 2nd Choice	Childcare 3rd Choice
Community Events	Community Events 1st Choice	Community Events 2nd Choice	Community Events 3rd Choice
Court Appointments	Court Appointments 1st Choice	Court Appointments 2nd Choice	Court Appointments 3rd Choice
Dental	Dental 1st Choice	Dental 2nd Choice	Dental 3rd Choice
Drug/Alcohol Treatment	Drug/Alcohol Treatment 1st Choice	Drug/Alcohol Treatment 2nd Choice	Drug/Alcohol Treatment 3rd Choice
Education	Education 1st Choice	Education 2nd Choice	Education 3rd Choice
Friends and Family	Friends and Family 1st Choice	Friends and Family 2nd Choice	Friends and Family 3rd Choice
Food Bank	Food Bank 1st Choice	Food Bank 2nd Choice	Food Bank 3rd Choice
Grocery Shopping	Grocery Shopping 1st Choice	Grocery Shopping 2nd Choice	Grocery Shopping 3rd Choice
Job Training	Job Training 1st Choice	Job Training 2nd Choice	Job Training 3rd Choice
Medical Appointments	Medical Appointments 1st Choice	Medical Appointments 2nd Choice	Medical Appointments 3rd Choice
Elder/Senior Services	Elder/Senior Services 1st Choice	Elder/Senior Services 2nd Choice	Elder/Senior Services 3rd Choice
Pharmacy	Pharmacy 1st Choice	Pharmacy 2nd Choice	Pharmacy 3rd Choice
Physical Therapy	Physical Therapy 1st Choice	Physical Therapy 2nd Choice	Physical Therapy 3rd Choice
Recreational Facilities	Recreational Facilities 1st Choice	Recreational Facilities 2nd Choice	Recreational Facilities 3rd Choice
Social Service Appointments	Social Service Appointments 1st Choice	Social Service Appointments 2nd Choice	Social Service Appointments 3rd Choice
Vocational Rehabilitation	Vocational Rehabilitation 1st Choice	Vocational Rehabilitation 2nd Choice	Vocational Rehabilitation 3rd Choice
Work	Work 1st Choice	Work 2nd Choice	Work 3rd Choice
WorkSource Appointments	WorkSource Appointments 1st Choice	WorkSource Appointments 2nd Choice	WorkSource Appointments 3rd Choice

Question Title

* Other

Question Title

* I need to go to: (Number your top 3 choices)

	1st Choice	2nd Choice	3rd Choice
Cle Elum	Cle Elum 1st Choice	Cle Elum 2nd Choice	Cle Elum 3rd Choice
Easton	Easton 1st Choice	Easton 2nd Choice	Easton 3rd Choice
Ellensburg	Ellensburg 1st Choice	Ellensburg 2nd Choice	Ellensburg 3rd Choice
Liberty	Liberty 1st Choice	Liberty 2nd Choice	Liberty 3rd Choice
Mineral Springs	Mineral Springs 1st Choice	Mineral Springs 2nd Choice	Mineral Springs 3rd Choice
Ronald	Ronald 1st Choice	Ronald 2nd Choice	Ronald 3rd Choice
Roslyn	Roslyn 1st Choice	Roslyn 2nd Choice	Roslyn 3rd Choice
Seattle	Seattle 1st Choice	Seattle 2nd Choice	Seattle 3rd Choice
South Cle Elum	South Cle Elum 1st Choice	South Cle Elum 2nd Choice	South Cle Elum 3rd Choice
Teanaway	Teanaway 1st Choice	Teanaway 2nd Choice	Teanaway 3rd Choice
Thorp	Thorp 1st Choice	Thorp 2nd Choice	Thorp 3rd Choice
Vantage	Vantage 1st Choice	Vantage 2nd Choice	Vantage 3rd Choice
Wenatchee	Wenatchee 1st Choice	Wenatchee 2nd Choice	Wenatchee 3rd Choice
Yakima	Yakima 1st Choice	Yakima 2nd Choice	Yakima 3rd Choice
Kittitas	Kittitas 1st Choice	Kittitas 2nd Choice	Kittitas 3rd Choice

Question Title

* Other

Question Title

* I need transporation on the following days of the week: (Choose all that apply)

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Question Title

* I need transportation at the following times: (Choose all that apply)

Morning

Afternoon

Evening

Question Title

* Do you know what current transportation services are available for you?

Yes

Question Title

* Do you use transportation services that are available to you?

Yes

If no, why not

Question Title

* If you currently use transportation services, are they meeting your needs?

Yes

If no, how can it be improved