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* 1. What zip code or city do you live in?

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* 2. Do you have a driver's license?

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* 3. Do you own at least one working vehicle?

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* 4. How often do you rely on or use public transportation?

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* 5. What transportation service(s) have you used?

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* 6. For what purpose(s) have you used public transportation?

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* 7. What times during the day do you need public transportation services available for your use?

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* 8. What issues, if any, prevent you from using public transportation?

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* 9. If you were to use public transportation, which of the following would you be interested in?

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* 10. From the list below, select the types of appointments you have missed, or could not make it to in the past 6 months due to lack of transportation.

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* 11. Comments:

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