Ridesharing with Apps Experience Survey

Your Voice Matters

As advocates for efficient, safe, and inclusive transportation for individuals with mobility related disabilities, we need to be informed of our communities’ personal experiences and impressions of ridesharing platforms. Your feedback will help inform policy and accessibility on this important issue. Thank you.

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1. Address (Required.)

Name

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

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2. In what city did you request a ride? (Required.)

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3. What app did you use? (Required.)

uber/WAV

Lyft

Other (please specify)

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4. Have you avoided using ridesharing services due to any of the following? (Check all that apply) (Required.)

Concern about safety

Concern about equipment damage

Concern about discrimination

Concern about long wait times

Concern about affordability

Concern about availability

Concern about driver education

I have not avoided using ridesharing services

Other reason (please explain)

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5. Have you been denied a rideshare due to your disability? (Required.)

Yes, please explain:

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6. If you have made requests for assistance in stowing or securing your wheelchair in a ridesharing vehicle, did the assistance provided meet your needs? (Required.)

N/A: I have not requested this type of service

Yes

No, please explain:

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7. What date did you request your trip? (month-day-year) (Required.)

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8. What time of the day? (Required.)

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9. Were you able to complete your trip? (Required.)

Yes

Ridesharing with Apps Experience Survey

Your Voice Matters

Question Title

1. Address (Required.)

Question Title

2. In what city did you request a ride? (Required.)

Question Title

3. What app did you use? (Required.)

Question Title

4. Have you avoided using ridesharing services due to any of the following? (Check all that apply) (Required.)

Question Title

5. Have you been denied a rideshare due to your disability? (Required.)

Question Title

6. If you have made requests for assistance in stowing or securing your wheelchair in a ridesharing vehicle, did the assistance provided meet your needs? (Required.)

Question Title

7. What date did you request your trip? (month-day-year) (Required.)

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8. What time of the day? (Required.)

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9. Were you able to complete your trip? (Required.)

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10. What was the pickup address where you requested your trip? (Required.)

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11. What was the drop off address where your trip ended? (Required.)

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12. About long did you wait for your vehicle to arrive? (in minutes) (Required.)

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13. On a scale of 1 (worst) to 5 (best), how would you rate your overall satisfaction with your trip? (Required.)

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14. Do you have any other feedback you'd like us to know about?

Ridesharing with Apps Experience Survey

Your Voice Matters

Question Title

* 1. Address (Required.)

Question Title

* 2. In what city did you request a ride? (Required.)

Question Title

* 3. What app did you use? (Required.)

Question Title

* 4. Have you avoided using ridesharing services due to any of the following? (Check all that apply) (Required.)

Question Title

* 5. Have you been denied a rideshare due to your disability? (Required.)

Question Title

* 6. If you have made requests for assistance in stowing or securing your wheelchair in a ridesharing vehicle, did the assistance provided meet your needs? (Required.)

Question Title

* 7. What date did you request your trip? (month-day-year) (Required.)

Question Title

* 8. What time of the day? (Required.)

Question Title

* 9. Were you able to complete your trip? (Required.)

Question Title

* 10. What was the pickup address where you requested your trip? (Required.)

Question Title

* 11. What was the drop off address where your trip ended? (Required.)

Question Title

* 12. About long did you wait for your vehicle to arrive? (in minutes) (Required.)

Question Title

* 13. On a scale of 1 (worst) to 5 (best), how would you rate your overall satisfaction with your trip? (Required.)

Question Title

* 14. Do you have any other feedback you'd like us to know about?

1. Address (Required.)

2. In what city did you request a ride? (Required.)

3. What app did you use? (Required.)

4. Have you avoided using ridesharing services due to any of the following? (Check all that apply) (Required.)

5. Have you been denied a rideshare due to your disability? (Required.)

6. If you have made requests for assistance in stowing or securing your wheelchair in a ridesharing vehicle, did the assistance provided meet your needs? (Required.)

7. What date did you request your trip? (month-day-year) (Required.)

8. What time of the day? (Required.)

9. Were you able to complete your trip? (Required.)

10. What was the pickup address where you requested your trip? (Required.)

11. What was the drop off address where your trip ended? (Required.)

12. About long did you wait for your vehicle to arrive? (in minutes) (Required.)

13. On a scale of 1 (worst) to 5 (best), how would you rate your overall satisfaction with your trip? (Required.)

14. Do you have any other feedback you'd like us to know about?