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Home Services
How We're Different
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GoGoGrandparent Survey
Thanks for registering.
Answer these questions to see if GoGo is reimbursable for you!
What motivated you to sign up for GoGo’s services? Select all that apply.
I need a ride to/from the airport
I need a ride to/from the hospital
My car is in the shop
My car broke down
I lost my driver’s license
Vision or mobility issues make driving hard
Friends or family can’t drive me anymore
I have regular medical appointments
I’m recovering from injury or surgery
New medication affects my ability to drive
I prefer not to drive in bad weather
Other
Please select one or more of the following groups which you consider yourself a member
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Middle Eastern or North African
Native Hawaiian or other Pacific Islander
Southwest Asian and North African
White
None of the above
Decline to state
Are you a veteran?
Yes
no
Do you have a special healthcare need, physical disability, or mental health condition that limits your ability to take care of your daily needs?
Yes
no
What was your sex assigned at birth?
Male
Female
Decline to State
What is the name of your health insurance provider?
What type of health insurance do you currently have?
Medicare
Medicare Advantage
Medicare Supplemental
Medicaid (Medi-Cal)
VA Benefits
Employer benefits
Private pay
Decline to state
In between plans / not insured
Other
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