Do you currently use our transportation services?

Yes

No

Do you or someone you know have challenges finding transportation in the area?

Yes

No

What is your age?

Below 60

60 - 64

65 - 69

70 - 74

75 - 79

80 - 84

85 - 89

90 or older

Reasons for not using transportation provided by Blue Rivers Area Agency on Aging:

Prefer to drive/ride in car

Bus is not available

Bus is not convenient

Bus is too expensive

Other

The variety of the meals:

Outstanding

Exceeds Expectations

Meets Expectations

Needs Improvement

Unacceptable

The appearance of the meals:

Outstanding

Exceeds Expectations

Meets Expectations

Needs Improvement

Unacceptable

The temperature of the meals:

Outstanding

Exceeds Expectations

Meets Expectations

Needs Improvement

Unacceptable

This survey may be anonymous. Fill in the information below only if you would like someone to reach out to you about program concerns, or for more information about other services Blue Rivers AAA provides. If you prefer not to submit your name and contact information, you may also call the Administration Office at 402-223-1376 or 888-989-9417.

First Name

Last Name