The Ross County Health District's Mobility Management Program gathers feedback from the community and residents with hopes to improve transportation services throughout Ross County.  By participating in this survey you can help our program identify needs so we can work with local transportation providers to help meet the needs of our community.   Thank you for your time and responses!

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* 1. Which age group are you in?

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* 2. Do you have or are you any of the following? (Check all that apply)

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* 3. When using a bus, van, or car, do you need a vehicle with a lift or ramp?

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* 4. Do you need a stretcher vehicle or ambulance to travel?

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* 5. Which of these transportation options do you use to go to other places (ex. grocery store, medical appointment)?  (Check all that apply)

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* 6. What obstacles do you face when choosing a transportation option? (Check all that apply)

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* 7. In the past year, how have these problems affected you? (Check all that apply)

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* 8. Which of these locations do you need or want to go but you don't have a way to get there? (Check all that apply)

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* 9. Where do you need transportation to? (Please list the names in the comment box.)

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* 10. Do you need transportation to any out of county healthcare facilities or job locations? If yes, please enter the location and let us know if it's for healthcare needs or work.

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* 11. Which of these areas do you live closest to?

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* 12. Is there anything else you would like to tell us about transportation in Ross County?

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