Transportation Needs Survey

Transportation Survey

Transportation is an essential part of the community infrastructure that individuals need to gain access to the goods, services, medical care, and social contacts that support their day-to-day existence and quality of life. Strengthening the link between transportation and community-based support services is critical for improving the quality of life for older Americans and in building more inclusive, livable communities. The Jayhawk Area Agency on Aging is conducting this survey in our three county planning and service area (Jefferson, Douglas, and Shawnee) to determine need for transportation services for seniors and assist with development of programs and services related to the transportation needs of individuals age 60 and older. Your responses are confidential and only group data will be reported.

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* 1. Do you currently drive?

Yes, Always

Sometimes

Rarely

No, I do not drive

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* 2. If you drive, to which of the following local destinations do you drive? (select all that apply)

Shopping, grocery store, bank

Medical/dental appointments

Social outings (friend or relative’s home, restaurant, golf, etc.)

Religious services

School

I don’t drive to any destinations

Other (please specify)

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* 3. If you currently still drive, do you expect to be driving in the next five years?

Yes

Not sure

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* 4. To which of these destinations do you anticipate needing transportation because you will be unable to drive there? (select all that apply)

Shopping, grocery store, bank

Medical/dental appointments

Social outings (friend or relative’s home, restaurant, golf, etc.)

Religious services

Work

Other (please specify)

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* 5. Are there any circumstances under which you would prefer not to drive (check all that apply)?

At nighttime

To a destination more than 3 miles away

To a medical appointment when I am not feeling well

On high-speed highways or freeways

To an area of town that I do not know very well

I don’t drive to any destinations

Other (please specify)

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* 6. Over the past 3 months, how much did you rely on others for transportation?

For all of my trips

For about 75% of my trips

For about 50% of my trips

For about 25% of my trips

For none of my trips

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* 7. If you depend on others for any of your trips, who do you depend on (check all that apply)?

Spouse

Children/Other relatives

Friends/Neighbors

Private services, such as taxis

Public services (bus system, Medicaid-paid transportation)

Volunteers (from churches or non-profit organizations)

Other (please specify)

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* 8. During the past 3 months, were you unable to travel to any of the following destinations because you did not have access to transportation (either your own car or a ride)?

Shopping, grocery store, bank

Medical/dental appointments

Social outings (friend or relative’s home, restaurant, golf, etc.)

Religious services

Work

Other (please specify)

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* 9. During the past 3 months, which of the following factors prevented you from taking trips outside your home (check all that apply)?

Not comfortable driving/cannot drive

Do not have a reliable vehicle

Cannot afford gas, parking or insurance

Cannot afford taxi/private transportation

Do not have someone to drive me

Do not have bus services in my area

Cannot afford to take the bus

Not familiar with transportation options in my area

Do not feel safe when traveling outside my home

Do not know who to call for help

Other (please specify)

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* 10. Are transportation services available in your community?

Yes

Don’t know

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* 11. If yes, please rate your communities’ transportation services

Excellent

Very Good

Good

Fair

Poor

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* 12. Which of the following statements about your local public transportation system are true for you (check all that apply)?

I do not know if we have a public transportation system.

I do not use public transportation services

I cannot use the public transportation system