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Local Coordinated Human Service
Transportation Plan Survey

General Public

As a member of the general public, complete this survey to assist us in understanding how you use the transportation system.

,

General Information

Name

E-Mail

Phone

Address

Survey

1) Who provides transportation for you? self, family, friend, UCHRA Public Transportation     Services, other (please name or circle if filing paper copy)
Self Family Friend UCART     Other

2) Do you use more than one transportation provider? Yes No
If you answered yes please list all that provide transportation for you:


3) What can you recommend to your transportation provider to better serve you.


4) What is your destination when using transportation? (example work, medical,
    shopping, etc.)


5) Do you reach your destination on time?
Yes No

6) Do you pay for your own transportation or is the cost covered by another source?


7) What time are you most likely to use these transportation services?


8) Is your driver and dispatcher professional and courteous? Yes No

9) What can your transportation provider change to make your trips a better experience for you?


10) On a scale of 1 to 10 (10 being the best) how would you rate your transportation provider?

Please return the survey to Susan Flagg or submit at www.uchra.com/transsurveypublic

Click SEND to submit this survey

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