San Joaquin Regional Transit District
Bus Accessible Service Report Card
Ambulatory Rider

1.	Monitor Wheels I.D. Number
3.	Date of Ride: Year
4.	Route number
5.	bus number
6.	Attempted Boarding Today
	BOARDING THE BUS
7.	Time Boarding
8.	Street Traveling On:
9.	Cross Street:
10.	Northbound Southbound Eastbound Westbound
11.	Was the Path of Travel to the Stop Clear? Yes No
	EXITING THE BUS
12.	Time Exiting
13.	Street Traveling On:
14.	Cross Street:
15.	Was the Path of Travel From the Stop Clear? Yes No
	DID THE OPERATOR:
16.	Act in a Professional and Courteous Manner? Yes No
17.	Ask if You Wanted Assistance? Yes No
18.	Give Appropriate Assistance? Yes No NA - Assistance Was Not Requested
19.	Help You Get a Seat If Asked? Yes No NA
20.	Allow You Time to Get Seated? Yes No NA - I Chose to Stand
21.	Use the Public Address System? Yes No
22.	Could You Hear and Understand Announcements? Yes No
	DID THE OPERATOR ANNOUNCE:
23.	Route Number and Destination When Bus Arrived? Yes No
24.	Stops at Major Intersections? Yes No NA - We Did Not Cross Major Intersection
25.	Route Transfer Points? Yes No NA - We Did Not Cross A Route Transfer Point
26.	Major Activity Centers or Points of Interest? Yes No NA - We Did Not Go To Major Activity Center
27.	Another Stop Which You Requested? Yes No NA - I Did Not Request Another Stop
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