Get My Kidz Shuttle
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1. Shuttle Survey
This survey is designed for parents interested in children transportation services.
1
. Do you have school-age children?
Do you have school-age children?
No
Yes
2
. If so, how old are your children?
If so, how old are your children?
4 - 5
6 - 8
9 - 11
12 - 14
15 - 17
3
. Are there any siblings between the ages of 4-17 in need of transportation services?
Are there any siblings between the ages of 4-17 in need of transportation services?
No
Yes
*
4
. Would you be interested in paying for transportation services provided through the following means? Please check ALL boxes that apply.
Would you be interested in paying for transportation services provided through the following means? Please check ALL boxes that apply.
centralized pick-up/drop-off services (centralized meeting location, i.e. public location to school)
door-to-door pick-up/drop-off services (one door to another door, i.e. home to school)
*
5
. Provide the frequency in services desired. Please check ALL boxes that apply.
Provide the frequency in services desired. Please check ALL boxes that apply.
one-way transportation services (to "or" from school)
round-trip transportation services (to "and" from school)
1-2 days per week
3-5 days per week
half-day school program
full-day school program
6
. Would safe transportation that is exclusively for children make it possible for your child to participate in activities they cannot currently participate in? (i.e. extracurricular or summer activities)
Would safe transportation that is exclusively for children make it possible for your child to participate in activities they cannot currently participate in? (i.e. extracurricular or summer activities)
No
Yes
7
. Would having an emergency plan to pickup your child (i.e. unexpected illness, last-minute call) be beneficial for your family at this time?
Would having an emergency plan to pickup your child (i.e. unexpected illness, last-minute call) be beneficial for your family at this time?
No
Yes
*
8
. Please provide the approximate start date of services desired. (i.e. August, 2012)
Please provide the approximate start date of services desired. (i.e. August, 2012)
*
9
. Please indicate the street intersection, including the city of the desired pickup/drop-off location.
Please indicate the street intersection, including the city of the desired pickup/drop-off location.
*
10
. Please provide an email address to learn more about our services and to receive notification when services are offered in your area.
Please provide an email address to learn more about our services and to receive notification when services are offered in your area.
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