Public Transit Accessibility for Disabled Riders Survey

Public Transit Accessibility for Disabled Riders Survey — Form Fields

This surveys template includes 7 fields. Survey riders with disabilities on public transit accessibility gaps and improvements. Free to customize and use on ZenBuild.

• Transit Mode Used Most (dropdown selection, required) — options: Bus, Subway/Metro, Light Rail, Commuter Rail, Paratransit, Ferry
• Disability or Accessibility Need (checkboxes, required) — options: Mobility Aid (Wheelchair/Walker), Vision Impairment, Hearing Impairment, Cognitive Disability, Chronic Illness, Other
• Station Accessibility Quality (rating, required)
• Vehicle Accessibility Quality (rating, required)
• Accessibility Barriers Experienced (checkboxes, optional) — options: Broken Elevators, No Audio Announcements, Inaccessible Platforms, Driver Assistance Issues, Ramp Malfunctions
• Has an Accessibility Issue Ever Made You Miss Your Trip? (multiple choice, required) — options: Yes Often, Yes Occasionally, Rarely, Never
• Most Important Accessibility Improvement Needed (long text, required)