Louisville Wheels Transportation Client Satisfaction Survey

Age

60-69

70-79

80-89

90 and Over

Gender

Female

Male

Race

What is your zip code?

Household composition, Do you live:

How did you learn about this transportation service?

On average, how many times a month do you use this transportation service?

Do you have any other means of transportation?

Yes

No

Do you use this transportation service mostly to get to: Please check all that apply

Doctor

Senior Center

Other

How would you rate the friendliness and courtesy of the drivers?

How satisfied are you with the vehicles in terms of comfort, cleaniness and your ability to get on and off?

Very Satisfied

Satisfied

Dissatisfied

When you call to schedule transportation, how often do you experience lengthy delays in haveing the telephone answered?

How often do you have to re-schedule medical appointments because you cannot get a ride at the time and or day that you need?

Is your driver on time picking you up from your home?

Is your driver on time picking you up to take you home?

What is the longest time you have had to wait for a driver to pick you up?

Are you aware that you can make a donation toward the ride if you wish?

Yes

No

Overall, how would you rate this transportation service?

Do you have any recommendations for improving this transprotation service?

Extend service hours

Provide service on the weekends

Provide transportation to more destinations

Reduce the waiting time for a ride

Drivers should provide more help into and out of vehicle

No recommendations

Additional Comments