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REGIONAL RIDERSHIP SURVEY
We are asking for your help in completing this survey. Your responses will help secure funding to continue this transportation program.
*
1.
Do you currently utilize MTA Regional Service? Regional Services include Regional Transportation to Great Lakes, Work Related routes outside of Genesee County.
(Required.)
Yes
No
2.
What is the reason for your trip today?
a. Travel to job
b. Travel for job search/job interview
c. Travel for leisure or errands
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3.
Do you have children under 18 years of age living in your home?
(Required.)
Yes
No
4.
If Question 3 is YES, Check any Department of Human Service programs your family is receiving. If you check A, B, C, and or D STOP here. If you check E, go to Question 5. If Question 3 is NO, STOP HERE.
Family Independence Program (formerly Aid to Dependent Children)
Food Assistance
Medicaid
Child Day Care
None
5.
Complete question 5, only if "NONE" is checked in question 4.
If your family size is 1, check if your monthly income is less than $1,518
If your family size is 2, check if your monthly income is less than $2,058
If your family size is 3, check if your monthly income is less than $2,598
If your family size is 4, check if your monthly income is less than $3,138
If your family size is 5, check if your monthly income is less than $3,678
If your family size is 6, check if your monthly income is less than $4,218
If your family size is 7, check if your monthly income is less than $4,758
If your family size is 8, check if your monthly income is less than $5,298
If your family size is 9, check if your monthly income is less than $5,838
If your family size is 10, check if your monthly income is less than $6,378
When you complete this survey online. In order to receive your one trip use pass please show the that you completed the
survey on your phone. Only during Active survey time at the Transfer Center. Thank You MTA Management