Rides for Henry County Health Center
1.
In the last 2 months, did you have problems getting to the following:
Doctor Appointment
Pharmacy
Grocery Store
Childcare drop off or pick up
a Job
Job Interview
Social Service Appointment
court appointment
local bank
2.
Do you have children that travel with you often? If yes, please mark below.
0-2 years old
3-5 years old
6-13 years old
14 years old and older
3.
Have you had to cancel an appointment in the past 12 months due to the following ?
never could get a ride
had a ride but they canceled on me
my car broke down
I live nearby by and planned to walk but the weather was bad that day.
4.
If Henry County Health Center offered same day transportation for any healthcare appointment, would you be able to donate the following?
$1 per ride
$2 per ride
$2.50 per ride
5.
If you would like to be entered into a drawing, for filling out the survey, enter your first and last name with your phone number below.
Current Progress,
0 of 5 answered