Customers Input and Needs Cherokee County Transit Customer Survey Question Title * 1. What is your age? Under 18 18-25 26-35 36-45 46-54 55-59 60+ Question Title * 2. What is your race? White or Caucasian Black or African American Hispanic or Latino Asian or Asian American American Indian or Alaska Native Native Hawaiian or other Pacific Islander Another race Question Title * 3. What is your gender? Female Male Other (please specify) Question Title * 4. What language are you most proficient? English French German Italian Spanish Other (please specify) Question Title * 5. What is the highest level of education you have completed? Did not attend school 6th - 12th Graduated from high school 1 year of college 2 years of college 3 years of college Graduated from college Some graduate school Completed graduate school Question Title * 6. What are your transportation needs? Weekly Shopping Medical Appointments Employment Taking a child to daycare Education Community group meetings (AA, TOPS, and more) Other (please specify) Question Title * 7. Do you need help with anything listed below? Food Clothing Transportation Child Care / Disabled Child Assistance Elderly Care Medication Assistance Community Resources Other (please specify) Question Title * 8. Do you use any Mobility Aides? Walker, Cane Wheelchair none Other (please specify) Question Title * 9. Downtown Murphy N.C. has an in town bus service, Would you like to see this in Andrews N.C. too? Yes No Question Title * 10. How often do you use our service? Once a Day More than Once a Day Weekly More than Once a Week Monthly More than Once a Month Yearly Other (please specify) Done