General Transportation Survey

Johnston County Public Health Department is studying ways to improve transportation in Johnston County. This study is intended to make it easier for Johnston County citizens to get to medical appointments, take care of medical needs, and to provide information about transportation needs to county leadership. As part of this study, we are requesting that you take a moment to answer a few questions about your transportation. Thank you for your help with this project.

Question Title

* 1. Which city/town do you live closest to?

Archer Lodge

Benson

Clayton

Four Oaks

Garner

Kenly

Micro

Pine Level

Princeton

Selma

Smithfield

Wilson Mills

Other (please specify)

Question Title

* 2. How do you usually get to medical appointments?

Personal vehicle

Friend/Relative vehicle

Taxi

JCATS

Other (please specify)

Question Title

* 3. How did you get to this appointment today?

Personal vehicle

Friend/Relative vehicle

Taxi

JCATS

Other (please specify)

Question Title

* 4. Have you missed an appointment for medical services in the past year because of transportation

Question Title

* 5. For what purposes do you need transportation?

Church

Entertainment

Medical

Shopping

Vocational training/School

Work

Other (please specify)

Question Title

* 6. How often do you need assistance with any type of transportation?

1 or more times a week

1 or more times a month

1 or more times in three months

N/A

Question Title

* 7. On a scale of 1 (easy) to 10 (hard), how easy is it to find transportation for...?

	1 (easy)	2	3	4	5	6	7	8	9	10 (hard)
Doctors's visits, Mental Health appointments, Dialysis, outpatient tests	Doctors's visits, Mental Health appointments, Dialysis, outpatient tests 1 (easy)	Doctors's visits, Mental Health appointments, Dialysis, outpatient tests 2	Doctors's visits, Mental Health appointments, Dialysis, outpatient tests 3	Doctors's visits, Mental Health appointments, Dialysis, outpatient tests 4	Doctors's visits, Mental Health appointments, Dialysis, outpatient tests 5	Doctors's visits, Mental Health appointments, Dialysis, outpatient tests 6	Doctors's visits, Mental Health appointments, Dialysis, outpatient tests 7	Doctors's visits, Mental Health appointments, Dialysis, outpatient tests 8	Doctors's visits, Mental Health appointments, Dialysis, outpatient tests 9	Doctors's visits, Mental Health appointments, Dialysis, outpatient tests 10 (hard)
Medication pick up	Medication pick up 1 (easy)	Medication pick up 2	Medication pick up 3	Medication pick up 4	Medication pick up 5	Medication pick up 6	Medication pick up 7	Medication pick up 8	Medication pick up 9	Medication pick up 10 (hard)
Wellness classes, gym, diabetes classes ect.	Wellness classes, gym, diabetes classes ect. 1 (easy)	Wellness classes, gym, diabetes classes ect. 2	Wellness classes, gym, diabetes classes ect. 3	Wellness classes, gym, diabetes classes ect. 4	Wellness classes, gym, diabetes classes ect. 5	Wellness classes, gym, diabetes classes ect. 6	Wellness classes, gym, diabetes classes ect. 7	Wellness classes, gym, diabetes classes ect. 8	Wellness classes, gym, diabetes classes ect. 9	Wellness classes, gym, diabetes classes ect. 10 (hard)