- Agency Survey -
Transportation Needs Assessment

Human Service Agencies, Elected Officials,
Churches, and Other Organizations

The purpose of this survey is to help improve your communitys' public transportation system by finding out what your client's transportation needs are.   Even if they don't need transportation at this moment, please consider what their future needs might be if they were unable to drive for any reason.  

General:

Your Organization:
1.
  Please indicate the type(s) of service your organization provides. (Check all that apply)
 
2.
 
3a.
  Does your organization provide client transportation in any of the following ways?  (Check all that apply)
 
 
3b.
 

Service and Needs:
4.
  Please indicate how current public transportation service could be improved in your community.                           (Check all that apply)
 
 
5a.
  Are there unmet public transportation needs in your community?
 
5b.
  If yes, what group(s) have unmet transportation needs?  (Check all that apply)
 

Transportation Needs:
6.
  What type(s) of trips do your clients need?  (Check all that apply)
 
7a.
  Do your clients need medical transportation outside the county?
 
7b.
 
7c.
  How often?  (Check all that apply)
 
8.
  When do your clients need public transportation?  (Check all that apply)
 
9.
 
 
 
10.
  What type of public transportation do your patrons need?  (Check all that apply)
 
 
11.
  How much should a one-way trip cost within your community?
 
 
12a.
 
12b.
 

If you would like to be contacted about upcoming public transportation meetings, please contact your county's transportation coordinator as outlined in the attached letter.

For office purposes only: (Skip this section unless you are completing data entry for the paper versions of this survey)
 
    http://www.snapsurveys.com/