AC12
====
[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER......]
How (do/does) (PERSON) usually get to (PROVIDER)?
DRIVE ................................. 1
IS DRIVEN ............................. 2
TAXI, BUS, TRAIN, OTHER
PUBLIC TRANSPORTATION ............... 3
WALKS ................................. 4
REF .................................. -7
DK ................................... -8
[Code One]