Agency Transportation Survey
Dear Community Member,

The Florida Department of Transportation and Gulfstream Goodwill Industries would like feedback on your agency and clients’ transportation needs. Your input will help us to improve transportation systems in our community for all transit users with an emphasis on programs to assist transportation disadvantaged seniors, low income wage earners, persons with disabilities, and children at risk.

A comprehensive transportation program is being developed that will be applying for grant funding this year. Input from your experiences working with the transportation disadvantaged community is highly valued so the model program can be designed to maximize benefits for the community.

We would greatly appreciate your assistance in answering a few questions.

Organization Name:
Your answer
Your Name:
Your answer
Email Address:
Your answer
Phone:
Your answer
Type of Organization:
Which types of individuals does your agency serve: (Check all that apply)
Which counties does your organization serve: (Check all that apply)
Is transportation a barrier on your organization's ability to service its clients?
Approximately how many clients does your agency serve?
Your answer
Approximately how many or what percentage of your agencies clients are seniors, low income wage earners, intellectually or physically disabled or children at risk?
Your answer
What times do your clients most likely need transportation services to access life sustaining and quality of life trips? (Examples - Life Sustaining: medical, grocery shopping, human services appointments. Quality of Life: movies, socialization) (Check all that apply)
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