Your participation in the survey is completely voluntary and there are no risks to participation. You may skip any questions you are not comfortable answering and, if at any time during the survey you wish to stop participating, you are free to exit the survey with no penalty to you. The research team and Hardin County Council on Aging Transportation are the only parties that will be allowed to see the data, except as may be required by law. If a report of this study is published, or the results are presented at a professional conference, only group results will be stated.

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* 1. In the past 12 months, what modes of transportation have you used? (Select all that apply)

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* 2. Which of the following are your most commonly visited destinations? (Select all that apply)

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* 3. Which of the following are the specific destinations to which you go? (Select all that apply)

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* 4. When you travel locally where do you go most often for work and/or pleasure? (Select all that apply)

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* 5. Are you familiar with any of the public transportation services listed below? (Select all that apply)

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* 6. Do you use any of the service listed in Question 5?

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* 7. If you do NOT use public transportation please identify why not? (Select only the choice that applies most often)

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* 8. If public transportation was easy to use and available to you and/or your family please explain why you might use the service? (Please select only one)

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* 9. Mark ALL of the following public transit options you or your family would consider using in the Hardin County area.

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* 10. How many vehicles are in your household (Please select only one)

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* 11. How many people in your household are of driving age and have a valid Driver's License? (Please select only one)

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* 12. Which of the following descriptions best applies to you? Are you presently: (Please select only one)

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* 13. How old are you?

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* 14. Where do you live? (Please select only one)

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* 15. Do you consider yourself: (Please select only one)

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* 16. What is your household's annual income? (Please select only one)

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* 17. How do you rate Hardin County Council on Aging Transportation service? (If you do not know, please just skip that area)

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Overall Service Quality
Time Service Starts In Morning
Time Service Ends In Evening
Response Time Of Vehicle To Your Call For A Pick-Up
Pick-Ups for Demand Response Are On Time
Demand Response Gets To Your Destination In A Timely Manner
Fares On Demand Response
Convenience Of Fixed Route Schedule
Schedule Of Fixed Route Stops
Fixed Route Operates On Time
Safety And Security At Fixed Route Stops
Fares On Fixed Route
Cleanliness Of The Vehicles
Safety And Security On The Vehicle
Driving Skills Of Vehicle Operator
Helpfulness Of Drivers
Helpfulness Of Scheduler On The Phone

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