SurveyMonkey Powered Online Survey

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1. How old are you?

Under 18

18-25

26-29

30-39

40-49

50+

I'd rather not say

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2. Which region do you live in?

North East

North West

Yorkshire & The Humber

East Midlands

West Midlands

East of England

London

South East

South West

Isle of Man

Wales

Scotland

Northern Ireland

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3. Please state the age of your child who will be participating in this product test with you.

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4. Please read and confirm the following:

I understand that this activity requires feedback on Mumsnet and that, if I do not respond as required, I will no longer be eligible for any future product tests with Mumsnet

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5. On average, how often do you use each of the following forms of transport?

	Every day	3-5 days per week	1-2 days per week	3-5 days per month	1-2 days per month	Less often	Never
Car	Car Every day	Car 3-5 days per week	Car 1-2 days per week	Car 3-5 days per month	Car 1-2 days per month	Car Less often	Car Never
Bicycle	Bicycle Every day	Bicycle 3-5 days per week	Bicycle 1-2 days per week	Bicycle 3-5 days per month	Bicycle 1-2 days per month	Bicycle Less often	Bicycle Never
Bus	Bus Every day	Bus 3-5 days per week	Bus 1-2 days per week	Bus 3-5 days per month	Bus 1-2 days per month	Bus Less often	Bus Never
Train	Train Every day	Train 3-5 days per week	Train 1-2 days per week	Train 3-5 days per month	Train 1-2 days per month	Train Less often	Train Never
London Underground	London Underground Every day	London Underground 3-5 days per week	London Underground 1-2 days per week	London Underground 3-5 days per month	London Underground 1-2 days per month	London Underground Less often	London Underground Never

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6. On average, how often does your child use each of the following forms of transport?

	Every day	3-5 days per week	1-2 days per week	3-5 days per month	1-2 days per month	Less often	Never
Car	Car Every day	Car 3-5 days per week	Car 1-2 days per week	Car 3-5 days per month	Car 1-2 days per month	Car Less often	Car Never
Bicycle	Bicycle Every day	Bicycle 3-5 days per week	Bicycle 1-2 days per week	Bicycle 3-5 days per month	Bicycle 1-2 days per month	Bicycle Less often	Bicycle Never
Bus	Bus Every day	Bus 3-5 days per week	Bus 1-2 days per week	Bus 3-5 days per month	Bus 1-2 days per month	Bus Less often	Bus Never
Train	Train Every day	Train 3-5 days per week	Train 1-2 days per week	Train 3-5 days per month	Train 1-2 days per month	Train Less often	Train Never
London Underground	London Underground Every day	London Underground 3-5 days per week	London Underground 1-2 days per week	London Underground 3-5 days per month	London Underground 1-2 days per month	London Underground Less often	London Underground Never

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7. Why would you like to take part in this product test?

Thanks for taking the time to volunteer. If you are selected your name, address and phone number will be passed onto Eastpak for them to send out the product. Your MN name will not be passed on.