1.What transportation services beyond a personal car do you or people that you know of in your community use and depend on for mobility?

Public Transit Bus

Family

Friends

Other (please specify)

2.Are you aware of any transportation options available in your community specifically for populations with limited personal mobility, e.g. seniors, people with disabilities, people with lower income?

Not that I am aware of

No

Yes

If yes, do you know how to use the services?

3.Are you aware of any special populations, e.g. seniors, people with disabilities, people with lower income, in your community that need assistance meeting their mobility needs?

Yes

No

Maybe

If maybe, please describe

4.Are there places in the local community or in the region that people want to go, but there are limited or no available transportation services?

Yes

No

If yes, where?

5.Have you had to provide transportation for a loved one, family member, or friend to a non-emergency medical appointment or destination?

Yes - Regularly

Yes - On Occasion

No

6.Have you had to take off work to provide transportation for a loved one, family member or friend to a NEMT appointment or destination?

Yes

No

7.What transportation improvements would you like to see that would help people in your community have greater mobility options?

8.What outreach efforts are needed to ensure people in your community know what transportation services are available to them (check all that apply)?

TV - Public Service Announcements

Radio - Public Service Announcements

Social Media

Websites

Newsletter

Local Unit of Government

Flyers/ Brochures

Other (please specify)

9.Michigan 2‐1‐1 is a free, confidential service that provides information and referral to transportation services, health and human services, community preparedness, and crisis information. Are you familiar with the Michigan 2-1-1 system?

Yes

No

If yes, have you used 2-1-1 to obtain information on transportation services?

10.Rides to Wellness is a comprehensive non-emergency medical transportation (NEMT) program administered by Michigan Transportation Connection (MTC). Are you familiar with the MIConnect Ride to Wellness Program?

Yes

No

11.If yes, have you used the Ride to Wellness Program?

Yes

No

12.What is the maximum distance travelled you have had to go for non-emergency health care?

Less than 1 mile - 50 miles

50 miles - 100 miles

Over 100 miles

13.Was the destination..

..in county of residence?

..outside county of residence but within Upper Peninsula Region?

..outside Upper Peninsula Region but within the State of Michigan?

..outside the State of Michigan?

..out of country?

14.If you have used the Ride to Wellness how would you rate the experience (on a scale of 1 - Poor to 5 - Great)?

1 star

2 stars

3 stars

4 stars

5 stars

15.If in support of NEMT public transit program such as Ride to Wellness what is the best way to support a sustainable program?

County Millage

Pay as Go

Grants

State Legislated Program

16.What other ways could local government support NEMT?

17.What is your interest in transportation issues? (e.g. work with people with transportation needs)

18.Within what county do you have the most interest in related to transportation?

19.What is your age group?

Under 18

18-25

26-39

40-64

65+

20.What is your gender?

Male

Female

Other