The Keene Family YMCA is looking at several different ways to improve transportation access to our new facility. We are working with the City Express public transportation for people of all ages to determine the feasibility of a bus stop at the Y. To help us to determine the numbers and needs of people who might use the City Express, please take a few moments to answer the following survey. Information about the City Express is available on line at if you would like to know more about the service.

* 1. I would be interested in taking City Express public transportation to the Keene Family YMCA?

* 2. I live or work within a ten minute walk to one of the following bus stop locations:

* 3. I usually go to the Y on

* 4. The time I usually go to the Y is:

* 5. I would be willing to pay a nominal fare ($2.00 or less for a round trip) to ride and have the service stop at the Y:

* 6. Please tell us a little about yourself.

* 7. I need the assistance of a wheelchair lift or other assistive device to use public transportation:

* 8. I usually go to the Y

* 9. I know someone else who would like to come to the Y if they had transportation:

* 10. Any additional comments?

Thank you for taking the time to complete this survey!