Online Forms

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Freedom Express 2021 Survey

  1. FCSS Logo
  2. Freedom Express 2021 Survey
    The Family and Community Support Services (FCSS) department within the Town of Hinton offers accessible transportation services for Hinton/Yellowhead County residents with short-term or long-term physical or cognitive impairment through the Freedom Express.
  3. Are you a Freedom Express client?*
  4. Have you used Freedom Express services within the past six months?*
  5. What do you use Freedom Express for?*
  6. Does the Freedom Express meet your needs for transportation?*
  7. Are you able to book appointments for the days/times you need with Freedom Express?*
  8. Are you happy with the services you receive from Freedom Express?*
  9. Do you use Freedom Express because it is your only option for transportation?*
    Would you like to enter to win a $50 gift card? If so, please add your name and phone number below:
  11. Leave This Blank:

  12. This field is not part of the form submission.