Accessible Services

MBTA System Orientation Training Questionnaire

If you are interested in attending or learning more about the MBTA's system oriantation training, please complete the following questionnaire.

This form has 5 sections. You will be asked to fill out each section, then click the Next button at the bottom of the page. This questionnaire will take about 10-15 minutes to complete.

Questions about the form or the training can be sent to Sysorientationtrain@mbta.com or:

The Department of System-Wide Accessibility
Massachusetts Bay Transportation Authority
10 Park Plaza Suite 5720
Boston, MA 02116

* indicates required field

Section 1 of 5: General Information

Name: *
D.O.B.: * e.g. mm/dd/yyyy
Address: *
City: *
State: *
Zip Code: *
Phone Number: * e.g. 123-123-1234
E-mail: *
Do you travel with a service animal? * Yes
No
Sometimes
Do you travel with a Personal Care Attendant (PCA)? * Yes
No
Sometimes
Do you use any of the following mobility aids?
(check all that apply)
Wheelchair/Scooter
Walker
Cane
Crutches
Other (specify below)