1.How often do you or your household members need transportation for the following purposes?
Medical appointments
Grocery shopping
Social events/visits
Work or school commutes
Recreational activities (e.g., beach, park, swimming pool)

Daily

Weekly

Monthly

Rarely

Never

2.Do you or someone in your household face challenges participating in community events due to lack of transportation?

Yes, regularly

Occasionally

Rarely

No, never

Not Applicable

3.Has a lack of transport options to access community events or programs affected your or a member of your household's mental health?

Yes

No

4.Do you or a member of your household need access to wheelchair-accessible transport?

Yes

No

5.5. Which of the following routes or destinations would you most likely use this service for? (Select all that apply)

Around Denmark town center

Trips to Albany

Access to local beaches

Recreational trips (e.g., to the Albany Leisure & Aquatic Centre)

Medical appointments

Shopping trips

Other (please specify)

6.What are the primary reasons you or your household would use this service? (Select all that apply)

Lack of personal transportation

High cost of operating a private vehicle

Disability or mobility challenges

Environmental reasons (e.g., reducing carbon footprint)

Convenience

Other (please specify)

7.How much would you expect to pay for a round-trip service within Denmark?

Less than $5

$5 - $10

$10 - $15

More than $15

8.How much would you expect to pay for a round-trip service to Albany?

Less than $10

$10 - $20

$20 - $30

More than $30

9.Would you consider volunteering as a driver or helping with this community initiative in another capacity? Please add your details below if you are interested so we can contact you with more information

Yes, as a driver

Yes, in another capacity (please specify in other below)

No, but I support the project

No, I’m not interested

Contact Details for volunteers

10.Do you have any additional comments or suggestions about the proposed commuter van service?