Survey for Additional 5310 Transportation Service in Erie and Huron Counties

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* 1. What is your age?

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* 2. Which segment (s) of the population do you belong to? (Check all that apply)

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* 3. Do you have a disability?

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* 4. Do you currently work with an individual or agency that helps address your transportation needs?

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* 5. Which county do you reside in?

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* 6. What city do you reside in?

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* 7. What is your zip code?

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* 8. How do you travel now? (Check all that apply)

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* 9. Do you currently use public transportation?

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* 10. How often do you travel by public transportation?

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* 11. What is the main reason(s) you use public transportation? (Check all that apply)

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* 12. How satisfied are you with your current transportation options?

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* 13. What days of the week do you have the most trouble finding transportation? (Check all that apply)

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* 14. What time (s) of day do you travel most? (Check all that apply)

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* 15. If you do not use public transportation; why not?

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* 16. What is the maximum amount you are willing or able to pay for a one- way ride?

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* 17. Where do you want or need to go that you do not have transportation to? (Check all that apply)

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* 18. Do you need additional ADA accessible transportation from 6:00 p.m. to 10:00 p.m.?

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* 19. Would you like someone to contact you about transportation options, mobility management services or for questions you have?

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* 20. Name and Phone Number

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