Product Testing

Please fill in a valid value for all required fields

Please ensure all values are in a proper format.

Are you sure you want to leave this form and resume later?

Are you sure you want to leave this form and resume later? If so, please enter a password below to securely save your form.

Save and Resume Later

Save and get link

You must upload one of the following file types for the selected field:

There was an error displaying the form. Please copy and paste the embed code again.

Apply Discount

You saved

with code

Submit Form

Submitting

Validating

There was an error initializing the payment processor on this form. Please contact the form owner to correct this issue.

Please check the field:

Fields

AC Transit Rider Feedback - Products and Technology

Thank you for your interest in joining AC Transit's Product Testing Group list. By completing this intake form, you acknowledge that we may email, text or phone you about participating in focus groups/interviews.

Please provide the following information so that we may contact you in the future to invite you to a group discussion/interview.

Name*

First Name*

Last Name*

Email*

Phone

How often do you use AC Transit bus service?

5 or more days a week 1 to 2 days a week A few times month Rarely Never

What AC Transit products have you used? Select all that apply.

actransit.org AC Transit Official App ACT RealTime Rider Capacity Feature Mobile Payment on Token Transit Mobile Payment on other app Clipper Card Check All

Other: Other Value

When is the best time for you to participate in focus groups or interviews?

Demographic Questions - Optional

What city do you live in?

Choose your age range.

18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 to 74 75 +

What is your race? Do you consider yourself...

American Indian or Alaskan Native Asian Black or African American Hispanic or Latino Native Hawaiian or Pacific Islander White

Other: Other Value

In what language do you prefer to get your information about AC Transit?

English Chinese Spanish

Other: Other Value

Is there anything else you'd like us to know?

Powered by Formstack Create your own form ›

Enter your save and resume password

Cancel

Confirm