New Rider Questionnaire
RequiredRequired Question(s)
Please take a minute to tell us a little about yourself by completing our New Rider Survey. The information will help us to know who our customers are and learn the best way to communicate with you. All information provided is solely for PRTC's use and will not be shared with outside organizations.
 
Required 1.
Please enter the information indicated below.

First Name:
Last Name:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:
Referred by (email):
Referred by (name):

Required 2.

I have lived in the PRTC service area: 

less than 1 year
1 - 5 years
5 - 10 years
more than 10 years
Required 3.

I learned about PRTC's services from (select all that apply): 

newspaper ad
bus stop sign
saw bus
friend/neighbor
saw schedule
web search
Other  
Required 4.

In the past, I have used public transportation: 

never
occasionally
frequently
5.

I am interested in the following information: 

Commuter bus
Local bus
Ridesharing
Other
6.

Comments:

 

1000 characters left.