HERO Survey Questionaire Question Title * 1. For what reason(s) did you need assistance? (mark all that apply; an answer to this question is required) Flat tire Out of fuel Overheating Dead battery Mechanical problem(s) Accident Needed directions Disabled in traffic Disabled on shoulder Needed a tow Other (please specify) Question Title * 2. How did the HERO Operator know that you needed assistance? HERO operator saw me Another motorist called it in Called 911 Called the HERO phone number Don't know Other (please specify) Question Title * 3. How long did you wait for assistance? Less than 10 minutes 10-20 minutes 20-30 minutes 30-45 minutes 45-60 minutes Over 60 minutes Question Title * 4. Was the HERO operator courteous? Yes No Question Title * 5. Please rate the following regarding your HERO operator Excellent Very Good Good Fair Poor Safety Practices Safety Practices Excellent Safety Practices Very Good Safety Practices Good Safety Practices Fair Safety Practices Poor Knowledge Knowledge Excellent Knowledge Very Good Knowledge Good Knowledge Fair Knowledge Poor Overall Overall Excellent Overall Very Good Overall Good Overall Fair Overall Poor Impression Impression Excellent Impression Very Good Impression Good Impression Fair Impression Poor Question Title * 6. Overall, how would you rate the HERO service? Excellent Very Good Good Fair Poor Excellent Very Good Good Fair Poor Question Title * 7. Additional remarks Question Title * 8. Name of HERO Operator Done