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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 <br> 702 S. 5th St., <br>St. Joseph MO 64501 <br> 816‐233‐6700 <br> transit_mschultz@stjoemo.org

    Michelle Schultz, Operations Manager
    702 S. 5th St.,
    St. Joseph MO 64501
    816‐233‐6700
    transit_mschultz@stjoemo.org

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52. Email address

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