Transportation Client Survey

Question Title

* 1. For what primary purpose do you most frequently ride the bus?

Work

School

Shopping/Errands

Medical

Social

Event

Other (please specify)

Question Title

* 2. How often do you use an agency transportation service?

5-7 days per week

2-4 days per week

Once a week

A few days per month

Once a month or less

Question Title

* 3. How long have you been using this transportation service?

Less than 1 month

1 month to 1 year

1 - 5 years

More than 5 years

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* 4. How satisfied are you with the availability of transportation services from the agency?

Very Sastisfied

Satisfied

Somewhat Satisfied

Somewhat Dissatisfied

Very Dissatisfied

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* 5. Do you have any other means of transportation?

Yes

Question Title

* 6. In the past week, what percentage of your transportation needs have been met by the agency?

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* 7. What improvements to this service would make it most likely that you would ride more frequently?

Reliability (on-time)

Longer service hours (earlier or later)

Better information

Better driver courtesy

Lower cost/fare

More comfortable/cleaner vehicle

Shorter travel time

Other (explain)

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* 8. Is there anywhere you need to travel that you cannot get to by using the transportation service?

Yes

Other (explain)

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* 9. If additional services was added, where should it go?

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* 10. How often do you think you would ride the bus to the location listed above?

Almost every day

A few days per week

Once or twice per month

Once a month or less

Very rarely/not at all

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* 11. What is your age?

Under 18

18-24

25-34

35-44

45-54

55-64

65+

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* 12. What gender do you identify with?

Female

Male

Non-Binary

Other (specify)

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* 13. Do you have a driver's license?

Yes

Question Title

* 14. What race/ethnicity do you identify with?

African/African American

Asian

Hispanic/Latino

White

Mixed/Other

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* 15. Do you identify as someone with a disability?

Yes

Question Title

* 16. Do you have any conditions that require assistance to use this transportation service?

No, none

Difficulty hearing

Difficulty walking

Require lift device

Visual impairments

Other (specify)

Transportation Client Survey

Question Title

* 1. For what primary purpose do you most frequently ride the bus?

Question Title

* 2. How often do you use an agency transportation service?

Question Title

* 3. How long have you been using this transportation service?

Question Title

* 4. How satisfied are you with the availability of transportation services from the agency?

Question Title

* 5. Do you have any ot﻿h﻿er means of transportation?

Question Title

* 6. In the past week, what percentage of your transportation needs have been met by the agency?

Question Title

* 7. What improvements to this service would make it most likely that you would ride more frequently?

Question Title

* 8. Is there anywhere﻿ you need to travel that you cannot get to by using the transportation service?

Question Title

* 9. If additional services was added, where should it go?

Question Title

* 10. How often do you think you would ride the bus to the location listed above?

Question Title

* 11. What is your age?

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* 12. What gender do you identify with?

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* 13. Do you have a driver's license?

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* 14. What race/ethnicity do you identify with?

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* 15. Do you identify as someone with a disability?

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* 16. Do you have any conditions that require assistance to use this transportation service?

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* 17. What is your zip code?

* 5. Do you have any other means of transportation?

* 8. Is there anywhere you need to travel that you cannot get to by using the transportation service?