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* 1. What is your county of residence?

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* 2. Age

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* 3. Gender

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* 4. Race

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* 5. Do you live...

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* 6. How did you learn about this service?

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* 7. On average, how many times a month do you use this transportation service?

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* 8. Do you have any other means of transportation?

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* 9. How would you rate the friendliness and courtesy of the drivers?

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* 10. How satisfied are you with the vehicles in terms of comfort, cleaniness and your ability to get on and off?

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* 11. Is your driver on time picking you up from your home to take you to the senior center?

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* 12. Is your driver on time picking you up to take you home?

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* 13. Are you aware that you can make a donation toward the ride if you wish?

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* 14. Overall, how would you rate this transportation service?

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* 15. Do you have any suggestions for improving the transportation service?

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* 16. Additional comments

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