Snohomish County Veterans Transportation Needs Survey 2021
The Snohomish County Transportation Coalition would like to thank you for participating in this short survey. The information you provide will be used to assess the transportation needs of veterans located in Snohomish County and how to best serve their needs. Please fill out each question to the best of your ability. Thank you for your participation. All surveys will be kept anonymous.

Disclaimer: Please only take this survey if you are a United States Military Veteran living in Snohomish County, Washington. We also ask you do not fill out this survey if you have already done so.
Sign in to Google to save your progress. Learn more
Name
Phone
Email (If Applicable)
Zip Code
What is your age?
Clear selection
What is your gender?
Clear selection
In which branch(es) of the military did you serve? Check all that apply. *
Required
In what war era(s) did you serve? Check all that apply. *
Required
Do you have a disability, and is it related to your military service? *
Do you receive healthcare from the VA? *
If you do receive VA healthcare, approximately how many times do you go? *
If you receive VA healthcare, at what location? Check all that apply.   *
Required
Please list your 3 most traveled destinations. (Examples: Community VA Clinic, Work, School, Grocery Store etc.) *
Please check every type of transportation you have used in the past 6 months. Check all that apply. *
Required
What are your top 3 most used transportation modes? (Example: Public Transit, Personal Vehicle, Walk, etc.) *
What are the biggest challenges you experience with transportation? (Examples: Cost, getting to work, uncomfortable with bus, etc.) *
(Please rate your experience based on the following statement) I use public transportation on a daily bases. *
(Please rate your experience based on the following statement) I can readily access public transportation. *
(Please rate your experience based on the following statement) Information regarding public transportation (ex. bus route, schedule) is easily accessible. *
What type of technology do you use to go on the internet? Check all that apply.
Do you use the Internet to find information about transportation? *
What other sources do you use to get information about transportation? Select all that apply.
Please list the specific websites that you use to find information about transportation or Veteran services. *
Please add any additional comments in regards to your experience with public transportation.
Thank you for your input.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Snohomish County Transportation Coalition. Report Abuse
Google Forms