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* 1. What is your current primary means of transportation to essential services (medical, grocery, etc.)?

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* 2. Is your current means of transportation easy and efficient?

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* 3. Is your current means of transportation affordable?

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* 4. How many trips per week to essential services do you make?

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* 5. What are your top 3 destinations you need transport to?

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* 6. Is public transportation an option for you?

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* 7. Is carpooling an option for you?

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* 8. Are senior transportation services an option for you?

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* 9. Would you prefer paratransit/ADA service (service typically provided by a public transportation provider for those in our community that are disabled or have mobility challenges) or would you prefer a vanpool operated by a church or social service organization?

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* 10. Would you use a demand-response program with an on-call transportation service such as Uber or Lyft?

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* 11. Please check which demographic group(s) you are in (check all that apply)

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* 12. Are you employed?

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* 13. What is your zip code?

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