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Exit Survey
 
 
How long have you used our transportation services?
 
Less than 6 months
 
6 months to less than 1 year
 
1 year to less than 3 years
 
3 years to less than 5 years
 
5 years or more
 
 
 
Which were services used for?
 
Medical Appointment
 
Grocery Store, Shopping, recreational activity
 
Adult Day Program
 
Education
 
Employment
 
Training
 
Other
 
 
 
Please indicate your level of satisfaction with the following attributes of our service.
Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Very Satisfied
Delivery of service
Quality staff given
Methods of communication
Quality of support
Quality of
Price
Post-service follow-up
Knowledge of our staff
 
 
Comment:
   
 
 
 
Please complete the following. The service...
 
Was better than expected
 
Matched expectations
 
Was worse than expected
 
 
Please rate how strongly you agree/disagree with the following statements.
Strongly Disagree Somewhat Disagree Neutral Somewhat Agree Strongly Agree
Our service played a key role in increasing your quality of life
The cost of our service is worth the benefits achieved
We achieved the pre-established targets/goals
We understand the needs of your company
We are thorough in planning and execution
 
 
Comment:
   
 
 
 
How likely are you to continue using our services?
 
Very likely
 
Somewhat likely
 
Neutral
 
Somewhat unlikely
 
Very unlikely
 
 
 
How do we rate compared to other transportation providers?
 
Much better
 
Better
 
About the same
 
Worse
 
Much worse
 
Don't know/not applicable
 
 
 
Do you have any suggestions for improvement?