Kansas Highway Patrol

Motorist Assistance Program Survey

We appreciate your feedback regarding the Motorist Assistance Program.

Name (optional)

Address

City

State

Zip code

Phone

Friendliness & courtesy of technician

Excellent

Average

Poor

Level of service provided

Excellent

Average

Poor

Should this service be continued?

Yes

How long did you have to wait for help?

Additional Comments

Location of event

County

Date

Time

Technician's Name

How did you contact us for help?