M4A Virtual Coffee with a Mobility Ambassador Survey

Sign up for Virtual Coffee with an Ambassador to develop your personalized travel plan and address any barriers you may be experiencing using Google Maps, Accessing RTD, Uber or Lyft apps.

Please complete the form below to request one-on-one transportation-related technology help from a volunteer or a presentation to a small group (less than 8), or large group (more than 8, such as housing site or community group) through Mobility for All.

Your session will last approximately 30 minutes and will be conducted by video conference, phone, or both depending on the preferences of you and your volunteer.

Please note:
• This service is open to Boulder County residents only.
• Your volunteer's priority will be helping with the question you describe on this form.
• By submitting this form, you consent to having your name, email address, and phone number shared with a volunteer ambassador who will contact you to consult on your transportation question.

1.First and Last Name

2.Email address

3.Mobile phone number

4.Boulder County Zip Code

5.What is your preferred meeting size/format? You can request one-on-one, small group (less than 8), or large group (more than 8 such as HOA or community group).

One-on-one

Small Group (less than 8)

Large Group (more than 8 such as HOA or community group)

6.I would like to learn about or get help with:

Using Google Maps

Accessing RTD Using Apps

Using Lyft

Using Uber

7.The primary device I want to work on with my volunteer ambassador is:

Apple Smartphone or device

Android Smartphone or device

8.Please indicate your comfort level with video conferencing services such as Microsoft Teams/Zoom:

Very comfortable (hav

Comfortable (have not used before but willing to try)

Uncomfortable (willing to try if my volunteer prefers/can help me)

Prefer phone call only

9.Please share as much detail as you can about your specific question/help/need.

10.Share anything else that will help your volunteer help you.

11.Open Records Notification: I acknowledge that my submission is considered an item of public record and must be made available by request under the Colorado Open Records Act (CORA). Information may include my name, email address, or other identifying information.
Please check below:

I acknowledge receipt of the Open Records Notification