Dial-A-Ride Potential Rider Survey

Question Title

* 1. Age

Under 18

18-24

25-34

35-44

45-54

55-64

65+

Question Title

* 2. Do you live in Coles County or Douglas County?

Coles County

Douglas County

Other

Question Title

* 3. Do you have a need for Public Transportation?

Yes

No

Question Title

* 4. Did you know that Dial-A-Ride transports people of all ages in Coles County and Douglas County?

Yes

No

Question Title

* 5. If you needed a ride would you call

A friend or family member

Taxi/cab

Dial-A-Ride