Travel Survey
Please take a few moments to complete this survey about your recent travel experience.
What mode of transportation did you use?
*
Please Select
Ambulatory NEMT
Wheelchair NEMT
How satisfied were you with your accommodation?
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Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
Has the driver treated you with dignity and utmost respect?
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Yes
No
Maybe
Please rate your overall travel experience on a scale of 1-5.
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1
2
3
4
5
Would you recommend this travel experience to others?
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Yes
No
Maybe
How can we improve our services? We want to provide the best service possible and we appreciate if you will include any feedbacks/complaints/suggestions to better serve our customers.
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