Transportation Provider Survey

The purpose of this survey is to gather information from organizations in Lucas County that provide transportation to help determine if transportation issues affect residents’ health by impacting their ability to make and keep health related appointments. The information provided will be used to develop recommendations for improving access to health care in the community.

1.What is the name of the transportation company?

2.Approximately how many Lucas County residents do you serve in a year?

0-200

201-400

401-600

601-800

801-1000

1000+

3.How would you best describe the people you serve? (Mark all that apply)

Elderly (65 or older)

Low income

Disabled (physical, mental, visual or other disability)

Other (youth, families, women, etc.)

4.What communities does your company serve with transportation? (Mark all that apply)

Rural

Urban

Suburban

5.Which of the following best describes your situation with regards to transportation services? (Mark all that apply)

We offer direct transportation services

We offer transportation information and referral

We participate in a transportation committee

We would like to offer specific health care transportation services in the future

We do not plan to offer specific health care transportation services in the future

Other (please specify)

6.Do you feel the people you serve know what resources are available to them if they need help with transportation to health care related appointments?

Yes

Don't know

7.Do you have any other comments to share about the lack of transportation and how it affects your clients in regards to their health related appointments?

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