Autonomous Ride Service User Feedback Survey
Help us improve by sharing your experience with our autonomous ride service.
Your Name
First Name
Last Name
Email Address (optional)
example@example.com
Date of Your Ride
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Pickup Location
*
Drop-off Location
*
How would you rate the following aspects of your ride?
*
Rows
Excellent
Good
Fair
Poor
Vehicle cleanliness
1
2
3
4
Comfort of the ride
5
6
7
8
Punctuality
9
10
11
12
Ease of booking
13
14
15
16
Staff responsiveness
17
18
19
20
How safe did you feel during your autonomous ride?
*
Not safe at all
1
2
3
4
Very safe
5
1 is Not safe at all, 5 is Very safe
Overall, how satisfied are you with the autonomous ride service?
*
1
2
3
4
5
Would you recommend our autonomous ride service to others?
*
Yes
No
Maybe
What did you like most about your ride?
What could we improve for future rides?
Submit Feedback
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