HESSCO and the Neponset Valley Regional Coordinating Council (NVRCC) are conducting this survey to identify gaps in the region's transportation system, especially related to medical transportation. Results will inform a forum on medical transportation being planned for early March.

Thanks very much!

* 1. How would you describe your organization?

* 2. To your knowledge, what percentage of patient appointments are missed or cancelled due to lack of transportation?

* 3. What barriers affect your patients' and consumers' access to transportation to medical appointments? Check all that apply:

* 4. Does your organization provide transportation directly to patients/consumers (for example, a shuttle between medical campuses)?

* 5. Does your organization contract for transportation services for patients/consumers?

* 6. Does your organization pay for any transportation for patients/consumers (for example, offering taxi vouchers)?

* 7. Have you coordinated with other organizations to provide transportation to patients/consumers?

* 8. Do you provide information on transportation services to patients/consumers? Check all that apply:

* 9. Would you like to provide information about available transportation services to your patients/consumers?

* 10. Are you familiar with the online, searchable, transportation database Ride Match www.massridematch.org?

* 11. What medical transportation services in your community are you aware of? Please list them:

* 12. Are you interested in attending a forum on medical transportation? If so, please share your contact information:

* 13. Please share any additional thoughts or questions you have related to medical transportation in the Neponset Valley/Southwest Metro area. Thank you!