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* 1. What is your age?

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* 2. What is your race or ethnicity?  (select all that apply)

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* 3. What is your total annual household income (for all people in your household combined)?

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* 4. Do you have a driver’s license?

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* 5. How many vehicles are in your household?

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* 6. Are you or anyone in your household a veteran?

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* 7. Do you consider yourself to have a disability?

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* 8. What is the zip code of your pick up location?

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* 9. What is the zip code of your destination location?

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* 10. Why are you using Tribal Transportation today?

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* 11. If transportation service was not available, how would you have made this trip?

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* 12. How often do you ride the Tribal Transportation?

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* 13. What time do you typically use Tribal Transportation? (select all that apply)

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* 14. What time would you like to use Tribal Transportation? (select all that apply)

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* 15. Have you used the following transportation services? (select all that apply)

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* 16. How often do you ride any of the transportation services listed above?

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* 17. Why do you use Tribal Transportation? Check all that apply.

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* 18. How often do you take the bus to work?

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* 19. How important is the Tribal Transportation service for getting to your job?

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* 20. How often do you ride the bus for school or job training?

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* 21. How often do you ride Tribal Transportation for errands or other business?

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* 22. How often do you ride Tribal Transportation to visit family or friends?

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* 23. How often do you ride Tribal Transportation for health care? (doctor visit, dentist, physical therapy, etc.)

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* 24. Is there any other feedback or information that you would like to provide regarding how public transportation impacts your life?

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