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Coordinated Transit Survey: This survey doesn't collect personal details or tracking data. Your responses are entirely anonymous & will be combined with others to help us assess the transportation needs & gaps in our region. Thank you!

1.What county do you live in?
2.What is your gender?
3.Which of the following applies to you? (Check ALL that apply)
4.What age range do you fall in?
5.What is your race?
6.What best describes your role in the community? (Check ALL that apply)
7.Which best describes your residence?
8.Mark ALL of the Transportation options you or your family have used in the last 12 months.
9.Do you or family members/friends ever need transportation outside of your county, but it is not available?
10.When do you most often USE transportation? (Check ALL that apply)
Mornings
Afternoons
Evenings
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
11.When do you most often NEED transportation and cannot find it? (Check ALL that apply)
Mornings
Afternoons
Evenings
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
12.Which of the following are your most visited destinations? (Check your TOP 3 destinations)
13.What barriers do you experience to secure the transportation you need?
14.Are there adequate transportation options available in your community for older adults to access services?
15.Are there adequate transportation options available in your community for people with disabilities to access services?
16.If you are a professional serving others, what type of transportation do the individuals you serve require?
17.In the last month, how many times have you missed a medical appointment because you did not have transportation?
18.In the last month, how many times have you been unable to shop for groceries because you did not have transportation?
19.In the last month, how many times did you miss a social activity (church, senior center activity, family events, etc) because you did not have transportation?
20.Are you on Medicaid?
21.If you are on Medicaid, does your local Job & Family Services or Managed Care Provider provide transportation?
22.Do you have a disability which requires you to use specialized transportation (such as a wheelchair accessible vehicle)?
23.What changes could be made to your local transportation options to make them more useful to you? (Check ALL that apply)
AAA 3 and HHWP CAC are committed to ensuring this survey is accessible to everyone. In accordance with the ADA, if you encounter any barriers or need information in an alternative format, including alternative languages, please contact lunverferth@psa3.org, spoling@psa3.org, or cweitz@HHWPCAC.com.