Community Outreach Vehicle Survey Form
Please provide information about vehicles available for outreach, transport, or event support. This survey helps us coordinate resources for community needs.
Vehicle Type
*
Please Select
Van
SUV
Car
Minibus
Truck
Other
Vehicle Make & Model
*
Year of Manufacture
*
Seating Capacity
*
Vehicle Condition
*
Excellent
Good
Fair
Needs Maintenance
Available Days
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Primary Use for Outreach
*
Transporting People
Delivering Supplies
Mobile Event Support
Other
Vehicle Features
Wheelchair Accessible
Air Conditioning
Large Storage Area
Audio System
Other
Vehicle Suitability for Outreach Needs
*
1
2
3
4
5
Outreach Vehicle Attributes Matrix
*
Rows
Excellent
Good
Fair
Poor
Cleanliness
1
2
3
4
Reliability
5
6
7
8
Comfort
9
10
11
12
Appearance
13
14
15
16
Additional Comments or Notes
Submit
Should be Empty: