YourCar Website Feedback Survey

Was your driver wearing a uniform and name badge? Yes

I Didn't Notice

Was the car clean? Yes

Was the car on time? Yes

What do you use the service for most (upto 3 choices)? Employment

Education

Health Care (eg doctor’s appointments, hospital visits, etc)

Physical activity

Shopping

Social and Cultural Activities

Faith-Based Activities

What did you use before YourCar? Public Transport

Mini-cab

Licensed taxi

Dial-A-Ride

I didn’t travel

Other (please specify)

How much more do you get out because of YourCar? I would not be able to get out without YourCar

I get out a lot more

I get out a little more

YourCar has made no difference

	Yes	No
The driver got out of the car	*What extra care did you receive while using the YourCar service? The driver got out of the car Yes	The driver got out of the car No
The driver helped me in some capacity (with my coat, with my shopping, etc)	The driver helped me in some capacity (with my coat, with my shopping, etc) Yes	The driver helped me in some capacity (with my coat, with my shopping, etc) No
The driver chatted with me	The driver chatted with me Yes	The driver chatted with me No
The driver took my anxieties into account while driving (eg avoiding tunnels, bumps, etc)	The driver took my anxieties into account while driving (eg avoiding tunnels, bumps, etc) Yes	The driver took my anxieties into account while driving (eg avoiding tunnels, bumps, etc) No
I did not receive any extra care	I did not receive any extra care Yes	I did not receive any extra care No

	Better	Neutral	Worse
Independence	*Have the following aspects of your life changed for the better, neutral, or worse by using the service? Independence Better	Independence Neutral	Independence Worse
Health	Health Better	Health Neutral	Health Worse
Self-Confidence	Self-Confidence Better	Self-Confidence Neutral	Self-Confidence Worse
Meeting with friends	Meeting with friends Better	Meeting with friends Neutral	Meeting with friends Worse
Feeling a part of your Community	Feeling a part of your Community Better	Feeling a part of your Community Neutral	Feeling a part of your Community Worse

Other (please specify)