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Respond to a Guaranteed Ride Home Survey
Use the form below to respond to your Guaranteed Ride Home Customer Survey. Your Member ID and Voucher ID can be found in the top section of the mailed survey. If you have lost your survey, please
contact us directly
.
Your Information
*
indicates a required field.
*
Voucher ID:
*
Member ID:
*
First Name:
*
Last Name:
*
Street address:
*
City:
*
State:
*
Zip:
Home/Cell Phone:
Home email:
Work Information
Please fully complete the employer information. We use this to map out your commute route, but do not share it with other commuters unless requested.
*
Employer/Worksite:
*
Street address:
*
City:
*
State:
*
Zip:
Work Phone:
Work email:
Ride Information
Commute mode traveled on the day service was used:
None selected
Drive Alone
Carpool
Biking
Walking
Public Transit
SmartWay
Enter all carpool partners here. If they are already RIDE Solutions members, please include their member numbers:
Member ID:
Name:
Did the provider arrive in a timely manner?
Yes
No
Was the driver familiar with the voucher procedure?
Yes
No
Were you satisfied with the service?
Yes
No
Comments:
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