Customer Care Comments/Complaints Form

Please complete this form below. Fields marked in an asterix(*) are required.

You must enter the security code listed at the bottom of the survey before submitting your comments.

*1. Your Contact Information

*First Name: *Last Name: *Email Address: *Phone Number: City:

2. Commendation, Complaint or Suggestion

Compliment Complaint Suggestion Other (please specify)

*3. Which Route type were you riding?

Select Route or Comment Type Access Ride Music City Star Train MTA Bus RTA Bus No specific route, just a comment

*4. (Question 4 depends on question 3)

*4. (No additional information is needed for Access Ride)

*4. Which Bus route were you riding?

Select a Bus Route 1 100 Oaks 2 Belmont 3 West End/White Bridge 4 Shelby 5 West End/Bellevue 6 Lebanon Pike 7 Hillsboro 8 8th Ave South 9 MetroCenter 10 Charlotte 14 Whites Creek 15 Murfreesboro Pike 17 12th Ave South 18 Airport/Downtown Hotels 19 Herman 20 Scott 21 University Connector 22 Bordeaux 23 Dickerson Road 24X Bellevue Express 25 Midtown 26 Gallatin Pike 27 Old Hickory 28 Meridian 29 Jefferson 30 McFerrin 33X Hickory Hollow/Lenox Express 34 Opry Mills 35X Rivergate Express 36X Madison Express 37X Tusculum/McMurray Express 38X Antioch Express 41 Golden Valley 43 Hickory Hills 44 MTA Shuttle 50 Charlotte Pike BRT lite 52 Nolensville Pike BRT lite 55 Murfreesboro Pike BRT lite 56 Gallatin Pike BRT lite 60 Blue Circuit 61 Green Circuit 72 Grassmere/Edmondson Connector 76 Madison Connector 84X Murfreesboro Express 86X Smyrna/La Vergne Express 87X Gallatin Express 88X Dickson Express 89X Springfield/Joelton Express 91X Franklin Express 92X Hendersonville Express 93 Music City Star West End Shuttle 94X Clarksville Express 95X Spring Hill Express 96X Nashville/Murfreesboro Relax & Ride

*4. Which RTA bus route were you riding?

Select RTA Bus Route 84X - Murfreesboro Express 86X - Smyrna/La Vergne Express 87X - Gallatin Express 88X - Dickson Express 89X - Springfield/Joelton Express 91X - Franklin Express 92X - Hendersonville Express 93 - Music City Star West End Shuttle 94X - Clarksville Express 95X - Spring Hill Express 96X - Nashville/Murfreesboro Relax & Ride

*4. Which Train route were you riding?

Select Train Route Lebanon-Orange Martha-Purple Mt Juliet-Green Hermitage-Blue Donelson-Red

5. What is the direction of the service?

To Downtown From Downtown Other (please specify)

6. If you had an incident, when did it happen?

MM DD YYYY hh mm AM/PM / / / :   Select One AM PM

*7. What is your boarding location? (Example: Stop/Station Name, Intersection, Name of Park & Ride)

8. Do you know the vehicle number? (If applicable.)

9. Do you know the operator's badge number? (If applicable.)

*10. Please enter a brief description of your Commendation, Complaint or Suggestion.

*11. Do you wish to be contacted by MTA?     Select One Yes No