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St. Joseph Transit Customer Comment Form

2. Section 1: Type of comment

   1. Compliment
   2. Suggestion
   3. Complaint
   4. Other

   Select one
4. Section 2: Customer Contact Information
6. First Name
7. Last Name
9. Address1
11. Address2
13. City
14. State
15. Zip
17. Phone Number
18. Email
20. Section 3: Comment Details
22. Date of occurrence
    Date of occurrence

    Date of occurrence
24. Name(s) of employee(s) involved, if known
26. Bus number
27. Route name & number
29. Direction of travel

    1. outbound
    2. inbound
31. Location of incident
33. Mobility aid used (if any)
35. Any other information to identify employee
37. Description of incident or message
39. Were there any witnesses?
41. Section 4: Follow Up
43. May we contact you if we need more details or information?

    1. Yes
    2. No
45. Do you want a response?

    1. Yes
    2. No
47. If yes, what is the best way to respond?

    1. Email
    2. Telephone
    3. US Mail
49. Direct Comments to St. Joseph Transit
    Michelle Schultz, Operations Manager
    702 S. 5th St.,
    St. Joseph MO 64501
    816‐233‐6700
    transit_mschultz@stjoemo.org
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51. 1. Receive an email copy of this form.
52. Email address

    This field is not part of the form submission.

53. Submit Submit and Print

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