Tell Us

Rider Survey (IMI)

Expanding Rural Access to Non-Emergency Medical Transportation

Thank you for taking the time to answer this brief 5 question survey. We are conducting this survey to determine how we are doing and how we can improve. For completing this survey, your name will be entered into a drawing for a $100 Amazon gift certificate. Surveys must be completed and submitted by 8/31/22 to be eligible and one survey per eligible rider please. Thanks again, and good luck!

Name(Required)
(###) ###-#### (Please provide a daytime phone number that we can contact you if you win the drawing.

Youth Registration >>>>>>>>>>

Pin It on Pinterest

Share This