New Rider Questionnaire

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 OmniRide's use and will not be shared with outside organizations.

  1. Contact Information
* First Name
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* Last Name
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* Address:
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* City
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* State
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* Zip Code
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* Email Address:
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* 2. I have lived in the OmniRide service area:
* 3. I learned about OmniRide's services from (select all that apply):
Other:
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* 4. In the past, I've used public transportation
* 5. I am interested in (select all that apply):
Other:
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* 6. Do you work from home?
If you answered yes, please indicate how many times a week.
Other:
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Questions/Comments?
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