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Rural Transportation Needs Survey

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* 1. What age are you?

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* 2. Are you a veteran?

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* 3. Which county do you live in?

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* 4. Do you live in a city or rural area?

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* 5. What is the name of your city, township, or village?

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* 6. Are you currently able to drive yourself where you need to go?

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* 7. Do you have a disability that affects your travel?

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* 8. Other than driving yourself, how would you rate other travel options?

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* 9. If you stopped driving, how hard would it be to get to where you need to go?

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* 10. Other than driving yourself, what transportation services are available to you? Check all that apply.

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* 11. From the list below, how often do you use the following transportation methods to get to the places you need to go to?

  Often Sometimes Never
Drive a vehicle
Ride with family or friends
Walk
Ride public transportation, like a bus or train
Use a taxi or cab service
Ride a bicycle
Ride with a volunteer
Use a ridesharing service, like Uber or Lyft

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* 12. Which of the following are your most commonly visited destinations?

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* 13. How far are the places that you most often need to go? Check all that apply.

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* 14. If you were looking for information on transportation options, which would you be most likely to use?

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* 15. What makes using a transportation service most difficult?

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* 16. What is most important when using a transportation service?

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* 17. What hours of the day are you most likely to travel? Pick the 2 that most apply.

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* 18. What days of the week are you most likely to travel? Check all that apply.

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* 19. What is your most common destination within your county? (ie: city, town, etc.)

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* 20. What is your most common destination outside of your county? (ie: city, town, etc.)

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* 21. What would you dislike most about using a transportation service?

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* 22. What would you like to see in your community that would help you get around better?

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* 23. How would you prefer to pay for transportation services (i.e. taxi, public transit)?

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* 24. Which reason would make you decide to use a service instead of driving yourself?

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* 25. If your car/a car is not available, which transportation sufficiently meets your needs?

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