Safety Service Patrol Survey

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* 1. What is your Name?

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* 2. Date of assist

(MM/DD/YYYY)

Date

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* 3. Approximate Time of Assist

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* 4. Where was your vehicle located?

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* 5. What was the problem?

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* 6. How long did you have to wait before the patrol driver arrived?

0-10 minutes

11-20 minutes

21-30 minutes

31+ minutes

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* 7. How did the patrol driver know you needed assistance?

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* 8. How did the patrol driver help you?

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* 9. What was your patrol driver's full name?

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* 10. Was the patrol driver professional and courteous?

Extremely

Very

Moderately

Slightly

Not at all

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* 11. How would you rate the service?

Excellent

Above Average

Average

Below Average

Very Poor

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* 12. Before receiving this assistance, were you aware that such a service existed along Maine's Interstate System?

Yes

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* 13. How important is it to you that MaineDOT continues to offer this patrol program?

Extremely Important

Very Important

Moderately Important

Slightly Important

Not Important

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* 14. Do you agree or disagree that this patrol offers a valuable service to drivers?

Strongly Agree

Agree

Undecided / Neutral

Disagree

Strongly Disagree

Safety Service Patrol Survey

Question Title

* 1. What is your Name?

Question Title

* 2. Date of assist

Question Title

* 3. Approximate Time of Assist

Question Title

* 4. Where was your vehicle located?

Question Title

* 5. What was the problem?

Question Title

* 6. How long did you have to wait before the patrol driver arrived?

Question Title

* 7. How did the patrol driver know you needed assistance?

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* 8. How did the patrol driver help you?

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* 9. What was your patrol driver's full name?

Question Title

* 10. Was the patrol driver professional and courteous?

Question Title

* 11. How would you rate the service?

Question Title

* 12. Before receiving this assistance, were you aware that such a service existed along Maine's Interstate System?

Question Title

* 13. How important is it to you that MaineDOT continues to offer this patrol program?

Question Title

* 14. Do you agree or disagree that this patrol offers a valuable service to drivers?

Question Title

* 15. Additional Comments