REGIONAL RIDERSHIP SURVEY We are asking for your help in completing this survey. Your responses will help secure funding to continue this transportation program. Question Title * 1. Do you currently utilize MTA Regional Service? Regional Services include Regional Transportation to Great Lakes, Work Related routes outside of Genesee County. Yes No Question Title * 2. What is the reason for your trip today? a. Travel to job b. Travel for job search/job interview c. Travel for leisure or errands Question Title * 3. Do you have children under 18 years of age living in your home? Yes No Question Title * 4. If Question 3 is YES, Check any Department of Human Service programs your family is receiving. If you check A, B, C, and or D STOP here. If you check E, go to Question 5. If Question 3 is NO, STOP HERE. Family Independence Program (formerly Aid to Dependent Children) Food Assistance Medicaid Child Day Care None Question Title * 5. Complete question 5, only if "NONE" is checked in question 4. If your family size is 1, check if your monthly income is less than $1,518 If your family size is 2, check if your monthly income is less than $2,058 If your family size is 3, check if your monthly income is less than $2,598 If your family size is 4, check if your monthly income is less than $3,138 If your family size is 5, check if your monthly income is less than $3,678 If your family size is 6, check if your monthly income is less than $4,218 If your family size is 7, check if your monthly income is less than $4,758 If your family size is 8, check if your monthly income is less than $5,298 If your family size is 9, check if your monthly income is less than $5,838 If your family size is 10, check if your monthly income is less than $6,378 MTA Thanks you for your participation. In order to receive your GoPass 1 Ride please come to Transfer Center to claim. Done
