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Human Service Client Survey

Thank you for completing this survey. The information you provide will be used to develop the Local Human Service Transit Coordination Plan for Region 9 (Blue Earth, Brown, Faribault, Le Sueur, Martin, Nicollet, Sibley, Waseca, and Watonwan Counties). Please take approximately 5 minutes to provide information regarding transportation services.

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* 1. For what primary purpose do you most frequently ride the bus?

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* 2. How often do you use an agency transportation service?

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* 3. How long have you been using this transportation service?

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* 4. How satisfied are you with the availability of transportation services from the agency?

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* 5. Do you have any other means of transportation?

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* 6. In the past week, what percentage of your transportation needs have been met by the agency?

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* 7. What improvements to this service would make it most likely that you would ride more frequently? Check all that apply.

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* 8. Is there anywhere you need to travel that you cannot get to by using the transportation service?

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* 9. If additional service was added, where should it go?

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* 10. How often do you think you would ride the bus to the location listed above?

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* 11. What is your age?

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* 12. What gender do you identify with?

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* 13. Do you have a driver’s license?

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* 14. What race/ethnicity do you identify with?

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* 15. Do you identify as someone with a disability?

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* 16. Do you have any conditions that require assistance to use this transportation service?

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* 17. What is your zip code

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