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Community Transportation Survey
1.
Would you use a routine bus route from Silver Lake/Claypool to Warsaw?
Yes
No
Maybe
2.
How often would you likely use this service?
Once a week
A few times per month
Rarely
3.
What day(s) of the week would you prefer? (Check all that apply)
Monday
Tuesday
Wednesday
Thursday
Friday
4.
What time of day would you likely use this service? (Check all that apply)
Morning (9:00am-11:00am)
Mid-day (11:00am-1:00pm)
Afternoon (1:00pm-3:00pm)
Other (please specify)
5.
What would be your primary reason(s) for using this service? (Check all that apply)
Medical Appointments
Shopping
Pharmacy
Social/Community Activities
School/Training
Work
Other (please specify)
6.
What locations in Warsaw would you most likely need to access? (Check all that apply)
Grocery stores (e.g. Walmart, Kroger, Aldi)
Medical facilities (hospitals, doctors offices)
Pharmacies
Downtown Warsaw
Employers
Shopping/retail
Other (please specify)
7.
Where would you need to be picked up?
Silver Lake
Claypool
Other (please specify)
8.
Would you need a return trip back home the same day?
Yes
No
9.
Do you currently have access to other means of transportation?
Yes, always
Sometimes
No, not at all
10.
Would you need any of the following accommodations?
Wheelchair accessible vehicle
Assistance boarding
None
Other (please specify)
11.
Additional comments or suggestions?