In the next few years, we at ENCAP will be working to figure out how to increase transportation resources in our service area of Douglas and Sarpy Counties. To know where to begin, we need to gather information about what kind of transportation resources are most needed.

Thank you for taking a few minutes to answer the questions on this survey. The more details you are willing to provide, the better! If you have any further questions, please contact Nicki Murphy at nmurphy@encapomaha.org or 402-453-5656 ext. 208.
Instructions: Check yes or no for EACH of the transportation challenges listed below.

Within the last 12 months, did you or anyone in your household experience:

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* 1. Difficulty purchasing a vehicle because of credit

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* 2. Difficulty maintaining or repairing a vehicle

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* 3. Difficulty keeping vehicle insurance coverage

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* 4. No access to a household vehicle

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* 5. No valid driver's license

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* 6. Unable to use public transit service due to distance to nearest bus stop

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* 7. Unable to use public transit service due to cost of bus pass

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* 8. Unable to afford Uber, Lyft, or cab services

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* 9. Cost of gas

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* 10. Unable to pay outstanding traffic tickets

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* 11. Unable to afford vehicle payment

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* 12. Ride from friends or family fell through

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* 13. Do not have others to rely on for a ride

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* 14. Work schedule changed and affected my transportation options

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* 15. Difficulty with access to or quality of transportation due to a physical disability

Instructions: Check the appropriate response for EACH of the items listed below.

Within the last 12 months, HOW OFTEN did transportation challenges prevent you or someone in your household from getting to:

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* 16. Behavioral/mental health services

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* 17. Medical care

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* 18. Employment opportunities

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* 19. Place of employment 

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* 20. Education

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* 21. Daycare

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* 22. Food/grocery stores

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* 23. Social/recreational activities

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* 24. Religious/spiritual activities

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* 25. Personal care (hair, shopping, errands, etc.)

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* 26. Legal appointment (for example, getting to a court date, meeting with an attorney, etc.)

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* 27. Somewhere in the community to pay a bill

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* 28. If you have a transportation concern that was not listed, please provide more details:

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* 29. What type of resource would help you meet your transportation needs (please be specific)?

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* 30. What is your zip code?

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* 31. Is distance to key activities (work, school, etc.) a concern for you?

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* 32. If you checked yes to the previous question, please explain:

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* 33. What is your age?

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* 34. How many people are in your household?

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* 35. Please check ALL age groups included in your household.

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* 36. If you are NOT a current ENCAP client, please share the name of the agency that provided you with this survey.

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