The purpose of this survey is to improve your community's public transportation system by identifying your client's transportation needs.

Question Title

* 1. Date

Date

Question Title

* 2. Counties/Communities Served

Question Title

* 3. Zip Code

Question Title

* 4. Agency/Entity Name

Question Title

* 5. Please indicate the type(s) of service your organization provides. (check all that apply)

Question Title

* 6. Does your organization provide client transportation in any of the following ways? (check all that apply)

Question Title

* 7. If your organization operates transportation vehicles directly, how many vehicles do you operate?

Question Title

* 8. Please indicate how current public transportation service could be improved in your community.(check all that apply)

Question Title

* 9. Are there unmet public transportation needs in your community?

Question Title

* 10. If Yes, what group(s) have unmet transportation needs? (check all that apply)

Question Title

* 11. What type(s) of trips do your clients need? (check all that apply)

Question Title

* 12. Do your clients need medical transportation outside of the county?

Question Title

* 13. How often? (check all that appy)

Question Title

* 14. When do your clients need public transportation? (check all that apply)

Question Title

* 15. Please list the top three towns in your county that need to improve public transportation services to better serve your clients.

Question Title

* 16. What type of public transportation do your clients/consumers need? (check all that apply)

Question Title

* 17. How much should a one-way trip cost within your community?

Question Title

* 18. If you could change one thing about public transportation for your clients, what would it be any why?