The Hilltown Community Development Corporation and the Council on Aging Consortiums are currently assessing the access and need for public transportation in the Hilltowns. Input from Hilltown residents is crucial. Paper surveys are available at local Councils on Aging, Meals on Wheels deliveries, and by contacting Teri Rutherford at terir@hilltowncdc.org. Thank you!

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* 1. Which town do you live in?

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* 2. Please describe your household. Indicate the number of people in each age range who live in your household, then please indicate how many of these people drive a car.

  # of people in your household # of drivers
Under 18
18-30
30-59
60 and over

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* 3. Do you require wheelchair-accessible transportation?

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* 4. If a van were available, would you be interested in group excursions?

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* 5. What would you be able to contribute for a round trip fare?

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* 6. Within the last 12 months, were you unable to get to a medical appointment because of a lack of transportation?

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* 7. Are you a veteran?

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* 8. What types of communication technologies do you use?

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