- Community Transportation Survey -

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

General:

Transportation Needs:
1.
  Do you or members of your household have access to (and can afford) a car or other vehicle that is running, licensed, and insured?
 
2a.
  Are there trips you or members of your household can't make because of a lack of transportation?  
 
2b.
  If yes, what kind of trips?  (Check all that apply)
 
3.
  How do you or members of your household travel now?  (Check all that apply)
 
4a.
  Do you or members of your household currently use public transportation?  
 
4b.
  If yes, what types of public transportation do you or members of your household use?  (Check all that apply)
 
5.
  In the last six months, have you or members of your household missed the following due to a lack of transportation?  (Check all that apply)
 
6a.
  Would you or members of your household use public transportation if it was available?  (If no, skip to question 10)
 
6b.
  If available, what types of public transportation would you or members of your household use?(Check all that apply)
 
6c.
  If available, how would you or members of your household prefer to get a ride?  (Check all that apply)
 
7a.
 
7b.
  Using public transportation, how often would you or members of your household travel to the communities listed above?
 
8.
  What times would you or members of your household need public transportation?  (Check all that apply)
 
9.
  How much would you or members of your household pay for a one-way trip within your county?
 
10.
 

Demographics:
11.
 
12.
  In which age range do you belong?
 
13.
  How many people live in your household?
 
14a.
  Do any of your household members have a disability (physical, mental, etc.) which limits their ability to drive?
 
14b.
  If yes, how many people have a disability?
 
15a.
  Do any of your household members need transportation to medical appointments outside the county?
 
15b.
 

Optional:
16.
 

Thank you for your time and participation!

For office purposes only: (Skip this section unless you are completing data entry for the paper versions of this survey)
 
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