SafeRide America Service Evaluation
Thank you for using our public service. Please share your feedback by filling in the information below. Feel free to use this form to praise or critique our programs. Our desire is to provide professional, reliable public services designed to pro-actively prevent all types of impaired driving. Your honest input will help make SafeRideAmerica better and is greatly appreciated.
Please share your contact information with us (Optional)
First Name
Last Name
Address 1
Address 2
City
State
Postal Code
Phone
Email Address
Would you like us to contact you about this via email or telephone?
Yes, email
Yes, phone
No you do not need to contact me
Use this area to make a general comment or statement about SafeRide America or one of its programs.
Tell us which service you would like to comment on.
SafeRide Service
SafeChauffeur Service
SafeParty Service
How long have you been using our service?
First time user
Less than 1 month
1-6 months
7-12 months
1-2 years
3-4 years
5 or more years
If commenting on a specific experience, tell us the date it took place.
If a reservation time was involved, tell us the time of the reservation here.
Did you make your reservation online or over the phone?
Online
Over the phone with
Please rate the following aspects of your experience with SafeRide America.
Very Good
Good
Neutral
Bad
Very Bad
Not Applicable
Reservation Process
Overall Ease of Use
Price of Service
Drivers On Time
Driver Appearance
Skills of Driver
Quality of Service
Overall perception
What do you most like about our service?
What do you least like about our service?
Compared to other services of this type, how would you rate our service?
Much Better
Better
Same
Worse
Much Worse
Don't Know
How likely are you to continue to use our service?
Very Likely
Likely
Neutral
Unlikely
Very Unlikely
Would you recommend this service to others?
Yes
No
If your answer to the above question is "No", is there anything we can to do to fix this?
May we publish your comments submitted on this form on our web site or promotional liturature?
Yes
No
May we publish all or part of your name in conjunction with your comments?
Yes, publish my full name (Ex: Mary Jones)
Yes, publish first name, last initial (Mary J.)
Yes, publish first initial, last name (M. Jones)
Yes, initials only (M.J.)
No, please do not publish my name
Indicates Response Required