What Town or County do you live in?

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* 1. What Town or County do you live in?

Please check the age classification you fit into

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* 2. Please check the age classification you fit into

Do you have any form of transportation?

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* 3. Do you have any form of transportation?

Do you need transportation?

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* 4. Do you need transportation?

Do you need wheelchair transportation?

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* 5. Do you need wheelchair transportation?

Have you ever used public transportation?

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* 6. Have you ever used public transportation?

What did you use public transportation for?

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* 7. What did you use public transportation for?

What was your experience or opinion of your public transit ride?

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* 8. What was your experience or opinion of your public transit ride?

Would you use public transportation if it were available and affordable?

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* 9. Would you use public transportation if it were available and affordable?

Do you know anyone who needs transportation?

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* 10. Do you know anyone who needs transportation?

Do you have access to out of town appointments?

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* 11. Do you have access to out of town appointments?

(Please check all that apply) Transportation need for in-town/out-of-town:

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* 12. (Please check all that apply) Transportation need for in-town/out-of-town:

Please enter any additional comments as to whether you feel there is a need for public transportation in Faulkton Area.

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* 13. Please enter any additional comments as to whether you feel there is a need for public transportation in Faulkton Area.

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