Knox Integrated Transport Plan
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1. Street Name

Street Name

2. Postcode/Suburb

Postcode/Suburb

3. Please select your age group

Please select your age group Less than 17

18-29

30-39

40-49

50 & over

4. How many of the following vehicles does your household own/use?

How many of the following vehicles does your household own/use? Bicycle
Car
Other (Please specify. Eg 2 x Motorbike or 1 x Mobility Scooter)

5. Please select how often you travel to the
following locations.

	Almost Daily	At least once a week	At least once a month	Never
Work	*Please select how often you travel to the following locations. Work Almost Daily	Work At least once a week	Work At least once a month	Work Never
School	School Almost Daily	School At least once a week	School At least once a month	School Never
Shopping	Shopping Almost Daily	Shopping At least once a week	Shopping At least once a month	Shopping Never
Recreation	Recreation Almost Daily	Recreation At least once a week	Recreation At least once a month	Recreation Never
Visit Family/Friends	Visit Family/Friends Almost Daily	Visit Family/Friends At least once a week	Visit Family/Friends At least once a month	Visit Family/Friends Never

6. Do you travel inside/outside of Knox for the following

	Inside of Knox	Outside of Knox	Both	Does not apply
Work	*Do you travel inside/outside of Knox for the following Work Inside of Knox	Work Outside of Knox	Work Both	Work Does not apply
School	School Inside of Knox	School Outside of Knox	School Both	School Does not apply
Shopping	Shopping Inside of Knox	Shopping Outside of Knox	Shopping Both	Shopping Does not apply
Recreation	Recreation Inside of Knox	Recreation Outside of Knox	Recreation Both	Recreation Does not apply
Visit Family/Friends	Visit Family/Friends Inside of Knox	Visit Family/Friends Outside of Knox	Visit Family/Friends Both	Visit Family/Friends Does not apply

7. How often do you travel by

	Almost Daily	At least once a week	At lease once a month	Seasonally	At least once a year	Never
Bicycle	*How often do you travel by Bicycle Almost Daily	Bicycle At least once a week	Bicycle At lease once a month	Bicycle Seasonally	Bicycle At least once a year	Bicycle Never
Walking	Walking Almost Daily	Walking At least once a week	Walking At lease once a month	Walking Seasonally	Walking At least once a year	Walking Never
Public Transport	Public Transport Almost Daily	Public Transport At least once a week	Public Transport At lease once a month	Public Transport Seasonally	Public Transport At least once a year	Public Transport Never
Car/Motorbike	Car/Motorbike Almost Daily	Car/Motorbike At least once a week	Car/Motorbike At lease once a month	Car/Motorbike Seasonally	Car/Motorbike At least once a year	Car/Motorbike Never

8. How often would you LIKE to travel by

	Almost Daily	At least once a week	At least once a month	Seasonally	At least once a year	Never
Bicycle	*How often would you LIKE to travel by Bicycle Almost Daily	Bicycle At least once a week	Bicycle At least once a month	Bicycle Seasonally	Bicycle At least once a year	Bicycle Never
Walking	Walking Almost Daily	Walking At least once a week	Walking At least once a month	Walking Seasonally	Walking At least once a year	Walking Never
Public Transport	Public Transport Almost Daily	Public Transport At least once a week	Public Transport At least once a month	Public Transport Seasonally	Public Transport At least once a year	Public Transport Never
Car/Motorbike	Car/Motorbike Almost Daily	Car/Motorbike At least once a week	Car/Motorbike At least once a month	Car/Motorbike Seasonally	Car/Motorbike At least once a year	Car/Motorbike Never

9. What prevents you from cycling, walking or using public transport? Please number your relevant issues where 1 = Highest Priority.

What prevents you from cycling, walking or using public transport? Please number your relevant issues where 1 = Highest Priority. Unreliable
Feeling unsafe
Inaccessible to mobility aid users
Takes too long or too far
Fear of crossing roads
Getting lost
Bad connections between modes
No confidence in using a bicycle
Poor lighting
No confidence in using public transport

10. Please rate the following services/infrastructure within Knox

	Very good	Good	Average	Poor	Very poor	Don't know
Bicycle Tracks/Paths	*Please rate the following services/infrastructure within Knox Bicycle Tracks/Paths Very good	Bicycle Tracks/Paths Good	Bicycle Tracks/Paths Average	Bicycle Tracks/Paths Poor	Bicycle Tracks/Paths Very poor	Bicycle Tracks/Paths Don't know
Footpaths	Footpaths Very good	Footpaths Good	Footpaths Average	Footpaths Poor	Footpaths Very poor	Footpaths Don't know
Access to Transport Information	Access to Transport Information Very good	Access to Transport Information Good	Access to Transport Information Average	Access to Transport Information Poor	Access to Transport Information Very poor	Access to Transport Information Don't know
Connections between modes	Connections between modes Very good	Connections between modes Good	Connections between modes Average	Connections between modes Poor	Connections between modes Very poor	Connections between modes Don't know
Signage (to find your way)	Signage (to find your way) Very good	Signage (to find your way) Good	Signage (to find your way) Average	Signage (to find your way) Poor	Signage (to find your way) Very poor	Signage (to find your way) Don't know

11. Further comments on the current or future Knox Transport System.

Further comments on the current or future Knox Transport System.

12. If you are interested in taking part in a focus group session in February or March 2012, please provide your name and at least one form of contact.

If you are interested in taking part in a focus group session in February or March 2012, please provide your name and at least one form of contact. Name
Address/Email
Phone/Mobile

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