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* 1. Please list your name, email and the name of the organization you represent.

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* 2. How familiar are you with the transportation options and services in your service region(s)?

  not familiar somewhat familiar very familiar
I am...

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* 3. What is your interest in learning more about the following transportation services?

  not interested somewhat interested very interested
Fixed Route (buses, vans, light rail, and other vehicles that operate on a predetermined route and schedule) 
Paratransit (transit that operates on-demand, door-to-door and often by shuttle for airport transportation or for people with disabilities) 
Rideshare (services like Uber or Lyft or Taxi services that connect drivers to people needing a ride) 
Mobility Training (transit training, often tailored for elders or people with disabilities) 
Carpool or Vanpool (people who share a car or van to travel to work) 
First/Last Mile programs (transit options that close gaps between a traveler’s origin and a fixed-route stop or station) 
School transit (transit options to help youth and students travel to school, school functions and events) 
Bikeshare (a transport service allowing short-term use of community bicycles) 
Flexible pay-by-the-mile car rental options (resources like Zipcar) 

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* 4. What is your interest in learning more about the following transportation solutions?

  not interested somewhat interested very interested
Accommodations for elders or people with disabilities 
Programs for youth 
Transportation options for people needing financial assistance 
Transportation services for commuters (people who depend on transit to travel to work) 
Transportation services for people who live outside of fixed-route or transit-service areas 
Transportation services for people needing to access vaccines or other medical treatment and services 

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* 5. What are some of the transportation-related challenges your community members face?

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