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This survey is being conducted by the Putnam County Transportation Coalition in order to update the county’s Coordinated Public Transit – Human Services Transportation Plan, which is required by the Ohio Department of Transportation every 5 years.  The coalition is led by Jodi Warnecke with the Putnam County Council on Aging and consists of several community organizations who are working together to improve transportation options for our residents.  The coalition is asking for your help in improving transportation services by taking a few minutes to complete this survey.  Your input does make a difference!  If you have any questions or need additional information, please contact Jodi Warnecke at 419-523-4121 or jodi@putnamcoa.org. 

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* 1. Zip code of primary residence

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* 2. Do you consider yourself (Please select one)

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* 3. What is your age range?

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* 4. I consider myself....(Check all that apply)

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* 5. What is your yearly household income?

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* 6. Do you have a disability which requires a mobility aid? (Check all that apply)

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* 7. What types of transportation do you use in a typical year? (Check all that apply)

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* 8. Which best describes you?

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* 9. Currently, how do you travel from home to medical appointments, essential errands, social activities, work, etc? (Please select all that apply)

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* 10. Which days of the week do you generally need transportation?

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* 11. What time of day do you need transportation?

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* 12. Do you need transportation to any of the following areas? (List all that apply)

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* 13. In a typical week, for what types of trips do you need transportation to? (Please mark all that apply)

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* 14. If you do not use transportation provided by a human service agency, please identify why not.

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* 15. Does a lack of reliable transportation keep you from doing things you need or like to do?

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* 16. If you answered yes to Question 16, what are the reasons (check all that apply)

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* 17. In the past year, how often has a lack of transportation prevented you from getting somewhere?

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* 18. What improvements/changes could be made to your local transportation options to make them more appealing to you? (Select all that apply)?

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* 19. 20. What is the best way to get information about transportation services in your county?

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* 20. What's most important when using a transportation service?

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* 21. What would you like to see to improve transportation in your community?

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* 22. If public transportation were available, such as a bus or taxi service, would you use it?

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* 23. Please mark which Putnam County transportation services you are aware of.

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* 24. Which Putnam County transportation services have you used?

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* 25. What do you feel is the biggest transportation need for yourself or for the community in general?

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* 26. Do you have any other ideas, comments or issues concerning transportation that you would like to tell us? (Gaps in service, unmet needs, how transportation services have helped you or a loved one).

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