Cape & Islands Regional Coordinating Committee Organization Survey

Question Title

1. What type of organization do you work for? (Check All that Apply)

Council on Aging

Elder Service Provider

Organization serving people with low incomes

Educational organization

Human Services organization

Non-profit organization

Employment or Career Center

Employer

Youth Services organization

Veterans organization

Volunteer organization

Transportation or transit provider

Question Title

2. What is the typical age of those that you serve? (Check All that Apply)

Below 18

19-30

31-50

51-59

60-64

65-70

70-80

Question Title

3. My organization provides the transportation for, or helps meet the transportation needs of: (Check All that Apply)

Students

Seniors

Veterans

Unemployed

Individuals with low incomes

Individuals with disabilities

Individuals with developmental disabilities

Individuals with mental illness

General Public

Other

Other (please specify)

Question Title

4. What type of mobility aids/assistance do your consumers use? (Check All that Apply)

Wheelchair

Mechanical Wheelchair

Walker

Cane

White Cane

Crutches

Stairlift

Personal Care Assistant

Other (please specify)

Question Title

5. Do your consumers face barriers to accessing or finding the transportation they need?

Yes