TRANSIT ACCESS - OCTA BUS VISUALLY IMPAIRED RIDERS' REPORT CARD

OCTA BUS
VISUALLY IMPAIRED RIDERS' REPORT CARD

Thank you for taking the time to fill out this form.
Please be as accurate and complete as possible.

1 .	NAME:
2 .	METRO WHEELS IDENTIFICATION NUMBER
3 .	DATE OF RIDE: Year
4 .	RIDE NUMBER
5 .	ROUTE NUMBER
6 .	BUS NUMBER
BOARDING THE BUS
7 .	TIME BOARDING: HOUR: (PLEASE CONFIRM AM OR PM)
8 .	STREET BUS WAS TRAVELING ON BOARDING:
9 .	NEAREST CROSS STREET BOARDING:
EXITING THE BUS
10 .	TIME EXITING: HOUR: (PLEASE CONFIRM AM OR PM)
11 .	STREET BUS WAS TRAVELING ON EXITING:
12 .	NEAREST CROSS STREET EXITING:
EVALUATION OF THE RIDE
DID THE OPERATOR:
13 .	ACT IN PROFESSIONAL AND COURTEOUS MANNER? Yes No
14 .	IDENTIFY ROUTE & DESTINATION IF ASKED? Yes No NA
15 .	HELP YOU GET SEAT IF ASKED? Yes No NA
16 .	GIVE ORIENTATION HELP IF ASKED? Yes No NA
27 .	USE THE PUBLIC ADDRESS SYSTEM? Yes No NA
28 .	WAS PUBLIC ADDRESS SYSTEM AUDIBLE? Yes No NA
DID THE OPERATOR ANNOUNCE:
29 .	ENOUGH STOPS THAT YOU FELT YOU KNEW WHERE YOU WERE? Yes No NA
30 .	MAJOR STOPS? Yes No NA
31 .	ROUTE TRANSFER POINTS & ROUTE NUMBER? Yes No NA
32 .	DESTINATION POINTS? Yes No NA
33 .	OTHER REQUESTED STOPS? Yes No NA
34 .	WAS AUTOMATED ANNOUNCEMENT SYSTEM WORKING PROPERLY? Yes No NA

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