Dial-A-Ride Service

We want your feedback! Your input will help us improve the service. Please answer the questions below and indicate the response that best describes your experience.

    • A. Which dial-a-ride service did you use?
       
    • B. How often do you use our dial-a-ride services? Please check the one that applies.
      • Daily
      • 2-3 times/week
      • Once/week
      • 1-2 times/month
      • Less than once/month
       
    • C. For what reason do you ride?
      • Work
      • Medical Appointment
      • Social Services
      • Shopping
      • Other
       
    • D. How did you find out about our dial-a-ride service? Please check as many as apply.
      • Social Service Agency
      • Senior Center
      • Family
      • Friend
      • Brochure
      • School
      • Internet
      • Inquired
       
    • E. Are you aware of the service area boundaries?
      • Yes
      • No
       
    • F. What is your zip code?
       
      •  
        Excellent
        Exceptional
        Above Average
        Average
        Below Average
        Poor
        Unacceptable
        N/A
         
      • How would you rate your overall satisfaction with our dial-a-ride service?
         
      • How knowledgeable was the representative that you spoke with on the telephone when you made reservations?
         
      • How would you rate the on-time performance?
         
      • How would you rate the condition, appearance, and cleanliness of the vehicles?
         
      • How would you rate the drivers with respect to safety?
         
      • How satisfied are you with the corrective action taken when you reported problems with the service?
         
      • Were we courteous?
         
    • Additional Comments
       
  • (Optional) Your contact information will allow us to contact you if we need to discuss your feedback.
    • Name:
       
    • Telephone:
       
    • Email:
       
    • Call back instructions:
       
       
Thank you for taking the time to help us serve you better!