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.

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* 1. What is the name of the transportation company?

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

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

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

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

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* 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?

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* 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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