Senior Transportation Program Survey

Please fill out the Senior Transportation Program Survey below. Or use the Printable / Fillable PDF version.

Senior Transportation Program – Public Input Survey

Name:
SMP ID#:
Are you currently a registered user for the California Yellow Cab Service?
Yes
No
Have you used the California Yellow Cab Service?
Yes
No

If so, how often did you use the service? (1 = Never, 5 =Always)
1 2 3 4 5
 
How satisfied are you with the service? Please Mark Below. (1 = Not Satisfied, 5 =Very Satisfied)

Reservation 1 2 3 4 5

Driver 1 2 3 4 5

Customer Service 1 2 3 4 5

Hours of Operation 1 2 3 4 5
What are you MOST satisfied with?
What are you LEAST satisfied with?
Prior Shuttle Service. (North Seal Beach and/or Thursday Shopper Service)
Have you used the prior Shuttle Service?
Yes
No

Please Mark Below. (1 = Not Likely, 5 = Very Likely)
How likely would you use a shuttle service?
1 2 3 4 5

How likely would you use the current California Yellow Cab service if a shuttle service was included?
1 2 3 4 5
Additional Comments:
May we contact you for additional feedback?
Yes
No

If so, please provide an email and/or phone number that we can best reach you at:

Email:
Phone: