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