2019 Perry County Ohio Individual Transportation Survey 2019 Perry County Ohio Individual Transportation Survey Please complete the short following survey regarding transportation. Please complete ONLY if you are a Perry County Ohio Resident. OK Question Title * 1. How old are you? Under 18 18-30 31-44 45-59 60 or older OK Question Title * 2. What is your gender? Male Female Other (please specify) OK Question Title * 3. Are you a Veteran? Yes No Active Duty OK Question Title * 4. Including you, how many people are in your household? (Check on box) 1 2 3 4 5 6+ OK Question Title * 5. Please select the choice that BEST applies to you Employed outside your home Employed in your home Retired Student Unemployed Other (please specify) OK Question Title * 6. I consider myself (Check all that apply to you) Disabled Low Income Senior (60+) None of the above OK Question Title * 7. Do you use a cane, walker, wheelchair, and/or another mobility device to help you get around? Yes No OK Question Title * 8. What is your zip code? OK Question Title * 9. Are you employed in Perry County? Yes No If not, how many miles driven daily for work: OK Question Title * 10. In the past six months, which of the following statement(s) apply to your situation: (Check all that apply to you) I do not have a driver's license My driver's license is suspended I do not have car insurance I can't afford gasoline I do not have a vehicle I can't afford to use a taxi service None Other (please specify) OK Question Title * 11. Mark ALL of the transportation you or your family have used during the past 12 months to travel to work/appointments/shopping/social activities/etc: (Check ALL that apply to you) Perry Count Transit Other counties mass transit systems Carpool or vanpool Perry County human service/senior agencies/Veteran's Services, etc. Other county human service/senior agencies/Veteran's Services, etc. Private inter-city bus (such as Greyhound or Megabus or GoBus) Private taxi, Uber, Lyft (or similar) Car Share (Zipcar) Faith based organization (such as a church bus or van to go to services or activities) Ambulette Service (non-emergency medical transportation provided by a medical transportation company) Personal vehicle or ride with a friend/family member Bicycle or walk (other than for exercise) Volunteer transportation Amtrak (originating in Ohio) None Other (please specify) OK Question Title * 12. What is your opinion about public transportation provided by Perry County Transit? (Check all that apply to you) Fares to expensive Safety concerns Cleanliness Timeliness/Late Arrivals Excessive Ride Time Availability of services Courtesy of employees Other (please specify) OK Question Title * 13. What City/Town, County or Counties are the locations of the following services for you? Medical Employment Shopping Recreation Other OK Question Title * 14. Do you own a bicycle? Yes No OK Question Title * 15. If you do own a bicycle, how comfortable are you traveling along public roads? Very uncomfortable Uncomfortable Comfortable Very comfortable OK Question Title * 16. Do you or anyone in your household walk to local establishments? (grocery, pharmacy, post office, dining, or entertainment) Yes No OK DONE