Nevada DOT is updating its Coordinated Public Transit-Human Services Transportation Plan, which seeks to develop strategies to address unmet transportation needs throughout the State. No information will be used to identify any individual who responds to this survey. The purpose of this survey is solely to assess the transit needs of the rural population in Nevada. Thank you!

What city/town do you live in (or what is the nearest city or town to your home)?

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* 1. What city/town do you live in (or what is the nearest city or town to your home)?

What county do you live in?

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* 2. What county do you live in?

Do you, or a family member, have any difficulty getting the transportation you need?

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* 3. Do you, or a family member, have any difficulty getting the transportation you need?

What transportation have you or your family used during the past 12 months to travel to places like work, appointments, shopping, classes or social activities? Check all that apply.

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* 4. What transportation have you or your family used during the past 12 months to travel to places like work, appointments, shopping, classes or social activities? Check all that apply.

If you do not use a public transportation service, why not? Check all that apply.

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* 5. If you do not use a public transportation service, why not? Check all that apply.

What changes could be made to your local transportation options to make using them more appealing to you? Check all that apply.

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* 6. What changes could be made to your local transportation options to make using them more appealing to you? Check all that apply.

Which of the following are your most commonly visited destinations or places you most often need to visit when transportation is available to you? Check all that apply.

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* 7. Which of the following are your most commonly visited destinations or places you most often need to visit when transportation is available to you? Check all that apply.

What City/Town, County or Counties are the locations from QUESTION 7 located in?

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* 8. What City/Town, County or Counties are the locations from QUESTION 7 located in?

When do you need transportation most often for each of the following general purposes? Check all that apply.

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* 9. When do you need transportation most often for each of the following general purposes? Check all that apply.

  Employer Medical or dental Shopping/Grocery/Pharmacy School Social/Recreation activities/Parks Church/Faith-based Organizations and Activities Veteran Organization
12 A.M - 6 A.M.
6 A.M - 8 A.M.
8 A.M. - 12 P.M.
12 P.M. - 3 P.M.
3 P.M - 6 P.M.
6 P.M. - 9 P.M.
9 P.M. - 12 A.M.
How old are you?

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* 10. How old are you?

Is English your primary language?

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* 11. Is English your primary language?

Which of the following BEST applies to you? Are you presently:

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* 12. Which of the following BEST applies to you? Are you presently:

If you work outside of your home, who is your employer(s)?

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* 13. If you work outside of your home, who is your employer(s)?

How many vehicles are in your household?

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* 14. How many vehicles are in your household?

What City/Town or County is your employer(s) located?

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* 15. What City/Town or County is your employer(s) located?

Do you have a disability which requires you to use a cane, walker, wheelchair, and/or another device to help you get around?

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* 16. Do you have a disability which requires you to use a cane, walker, wheelchair, and/or another device to help you get around?

Are you or a family member currently using any transportation services that are available to you through the Medicaid program?

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* 17. Are you or a family member currently using any transportation services that are available to you through the Medicaid program?

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