TAP Transportation Survey

OC ______TAP Transportation Survey for Residents The purpose of this survey is to improve transportation for Grand Island Residents. Do not provide any personal information that might identify you. Thank you!

1. Have you filled out this survey previously? □ Yes: STOP! We have already collected your information. Thank you! □ No: Please proceed. 2. Do you need transportation on a regular basis for any of the following? Check all that apply. □ Getting to work between 5:00AM-7:30AM □ Attending training or education classes □ Getting to work between 7:30AM-8:30AM □ Getting kids to childcare, school or school activities □ Getting to work after 8:30 & before 5:00PM □ Going to the doctor / dentist / medical □ Getting to work between 5:00-8:00PM □ Visiting friends and family □ Getting to work between 8:00-10:00PM □ Getting to work after 10:00PM □ Recreational activities and events □ Weekend and holiday travel 3. How do you usually get places? □ Other Service Provider: □ Personal car/vehicle □ Family/Friends vehicle □ MNIS □ Bicycle/walking □ Vanpool / Carpool □ Goodwill □ Hall County Public Transportation □ Other ______□ Full-time □ Part-time 4. Are you currently employed? □ Not employed Employment Employment Check all that apply. □ Work from home 5. Do you have a disability? Check □ Hearing □ Psychiatric □ Developmental/Learning any that apply. □ Other ______

YES NO 7. Is your transportation to work limited because of where you live? □ □ 8. Which zip code do you live in? ______9. Which zip code do you work in if applicable? ______10. What zip code is your childcare provider in if you have one? __ 11. What zip code is your primary medical provider in if any? ______Please rate how well you agree with the following: Strongl Somewhat Somewhat Strongly The transportation I use: y Agree Agree Disagree Disagree N/A 12. Does a good job of getting me where I need to go. □ □ □ □ □ 13. Makes me wish there was something better. □ □ □ □ □ 14. Limits where I can work. □ □ □ □ □ 15. Is difficult to pay for. □ □ □ □ □ 16. Makes it easy to do errands. □ □ □ □ □ I would use public buses for work regularly if: 17. I knew what was available. □ □ □ □ □ 18. There were bus routes where I lived. □ □ □ □ □ 19. It allowed me to make stops for other tasks. □ □ □ □ □ OC ______20. Wait time for pick-up was shorter. □ □ □ □ □ 21. Bus arrival time was more reliable. □ □ □ □ □ 22. It was easier for me to make an appointment. □ □ □ □ □ 23. I felt safe and secure. □ □ □ □ □ 24. Someone taught me how to use the bus. □ □ □ □ □ 25. Buses were easier for me to board. □ □ □ □ □ 26. Language was not a problem. □ □ □ □ □ Continue on Back

Please rate how well you agree with the following: Strongly Somewhat Somewhat Strongly I have a car, but I would use/continue to use public Agree Agree Disagree Disagree N/A transportation to do the following if available: 27. Get to work. □ □ □ □ □ 28. Get to medical appointments. □ □ □ □ □ 29. Get to Shopping, social events, entertainment. □ □ □ □ □ 30. Get to service provider appointments. □ □ □ □ □ Demographic Information n 31. Your age? □ □ □ □ □ Under 19 20-34 years 35-54 55-64 65 and over years years 32. Your gender? □ □ Male Female 1 2 3 4 5+ person persons persons persons persons 33. Number of children in household who are: a. Under 6 years of age? □ □ □ □ □ b. 6-13 years of age? □ □ □ □ □ c. 14-19 years of age? □ □ □ □ □

34. Total annual household □ □ □ □ □ income? $0- $10,000- $20,000- 30,000- $45,000+ $9,999 $19,999 $29,999 $44,999 35. Are you eligible to receive SSI, Social Security Disability, □ □ TANF or other programs with income guidelines? Yes No

36. Is English your first language? □ □ Yes No 37. Can you need access to information □ □ in a language other than English? Yes No 38. Today’s date: ____/ ____ /______39. Where did you get this survey? ______

40. Comments/suggestions:______Thank You! OC ______Please return by__(date)____to Organization & Address______If you have questions regarding the survey please call: Tele. Number