2012 Transportation Satisfaction Survey

1. RRI Transportation Survey 2012

Question Title

* 1. Please provide the following information:

Name of Person Completing Form: *

Name of Person Receiving Services: *

Phone Number:

Question Title

* 2. Are you satisfied with your service

Yes

No

Question Title

* 3. Please rate your experience in the following areas:

	Always	Usually	Never	N/A
Are your pick-up and drop-off times consistent from day to day?	Are your pick-up and drop-off times consistent from day to day? Always	Are your pick-up and drop-off times consistent from day to day? Usually	Are your pick-up and drop-off times consistent from day to day? Never	Are your pick-up and drop-off times consistent from day to day? N/A
IF a permanant change in routing effected you were you notified beforehand? (if this doesn't apply please select N/A)	IF a permanant change in routing effected you were you notified beforehand? (if this doesn't apply please select N/A) Always	IF a permanant change in routing effected you were you notified beforehand? (if this doesn't apply please select N/A) Usually	IF a permanant change in routing effected you were you notified beforehand? (if this doesn't apply please select N/A) Never	IF a permanant change in routing effected you were you notified beforehand? (if this doesn't apply please select N/A) N/A
In the event of inclement weather did you know where to look for cancellations i.e. RRI Transportation voice box?	In the event of inclement weather did you know where to look for cancellations i.e. RRI Transportation voice box? Always	In the event of inclement weather did you know where to look for cancellations i.e. RRI Transportation voice box? Usually	In the event of inclement weather did you know where to look for cancellations i.e. RRI Transportation voice box? Never	In the event of inclement weather did you know where to look for cancellations i.e. RRI Transportation voice box? N/A
In occurrences where the van was running late, OTHER THAN INCLEMENT WEATHER, were you notified?	In occurrences where the van was running late, OTHER THAN INCLEMENT WEATHER, were you notified? Always	In occurrences where the van was running late, OTHER THAN INCLEMENT WEATHER, were you notified? Usually	In occurrences where the van was running late, OTHER THAN INCLEMENT WEATHER, were you notified? Never	In occurrences where the van was running late, OTHER THAN INCLEMENT WEATHER, were you notified? N/A
The Drivers/Monitors interact appropriately and treat you with respect?	The Drivers/Monitors interact appropriately and treat you with respect? Always	The Drivers/Monitors interact appropriately and treat you with respect? Usually	The Drivers/Monitors interact appropriately and treat you with respect? Never	The Drivers/Monitors interact appropriately and treat you with respect? N/A
Is the appearance of the vehicles clean and damage free?	Is the appearance of the vehicles clean and damage free? Always	Is the appearance of the vehicles clean and damage free? Usually	Is the appearance of the vehicles clean and damage free? Never	Is the appearance of the vehicles clean and damage free? N/A
Are you able to reach the Transportation Director when necessary?	Are you able to reach the Transportation Director when necessary? Always	Are you able to reach the Transportation Director when necessary? Usually	Are you able to reach the Transportation Director when necessary? Never	Are you able to reach the Transportation Director when necessary? N/A
When you report a transportation issue is it resolved timely?	When you report a transportation issue is it resolved timely? Always	When you report a transportation issue is it resolved timely? Usually	When you report a transportation issue is it resolved timely? Never	When you report a transportation issue is it resolved timely? N/A

Question Title

* 4. Do you wish to be contacted regarding transportation services you receive?

Yes

No