A Car Club for the Upper Annandale Survey

1. Register Your Interest

Please use the form below to register your interest in the proposed Upper Annandale car club.

This survey is being carried out by Carplus Trust in partnership with Moffat CAN (Moffat Carbon Approaching Neutral) as part of the, Transport Scotland funded, Developing Car Clubs in Scotland (DCCS) programme.

Survey responses will be used by Moffat CAN and Carplus for the sole purpose of establishing the level of interest in a local community-run car club and respondent contact information will not be shared with any other organisation.

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* 1. Your contact details are:

Name: *

Address 1: *

Address 2:

Town: *

Postal code: *

Telephone:

Mobile:

Email Address:

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* 2. Are you over 20?

Yes

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* 3. Do you have a driving licence?

Yes

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* 4. Do you own a car or van?

Yes

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* 5. Where do you live?

Upper Annandale

Other (please specify)

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* 6. Where do you work?

Upper Annandale

Other (please specify)

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* 7. Do you have access to a car at home or work that is not owned by you?

Yes, at home

Yes, at work

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* 8. If you joined the Car-sharing Club, which of the following would be your most likely destinations?

	Tick all that apply	Tick only the location most often visited
Within Upper Annandale	Within Upper Annandale Tick all that apply	Within Upper Annandale Tick only the location most often visited
Dumfries	Dumfries Tick all that apply	Dumfries Tick only the location most often visited
Dumfries & Galloway	Dumfries & Galloway Tick all that apply	Dumfries & Galloway Tick only the location most often visited
Glasgow	Glasgow Tick all that apply	Glasgow Tick only the location most often visited
Carlisle	Carlisle Tick all that apply	Carlisle Tick only the location most often visited
Other	Other Tick all that apply	Other Tick only the location most often visited

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* 9. Why would you make the journeys described above?

	Tick all that apply	Tick only the most usual reason
Short holiday/weekend break	Short holiday/weekend break Tick all that apply	Short holiday/weekend break Tick only the most usual reason
Shopping	Shopping Tick all that apply	Shopping Tick only the most usual reason
Family/social visits	Family/social visits Tick all that apply	Family/social visits Tick only the most usual reason
Educational reasons	Educational reasons Tick all that apply	Educational reasons Tick only the most usual reason
Business travel	Business travel Tick all that apply	Business travel Tick only the most usual reason
Medical	Medical Tick all that apply	Medical Tick only the most usual reason

Other (please specify)

Please indicate how often in a typical month you would be most likely to use the Car-sharing Club for a trip. User charges probably make it most cost effective for short bookings lasting from an hour to a long weekend.

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* 10. Short bookings

	1-4 hours	5-11 hours	12-23 hours
Once a week, or more	Once a week, or more 1-4 hours	Once a week, or more 5-11 hours	Once a week, or more 12-23 hours
Once a fortnight	Once a fortnight 1-4 hours	Once a fortnight 5-11 hours	Once a fortnight 12-23 hours
Once a month	Once a month 1-4 hours	Once a month 5-11 hours	Once a month 12-23 hours
Less than once a month	Less than once a month 1-4 hours	Less than once a month 5-11 hours	Less than once a month 12-23 hours
Only in an emergency	Only in an emergency 1-4 hours	Only in an emergency 5-11 hours	Only in an emergency 12-23 hours
Never	Never 1-4 hours	Never 5-11 hours	Never 12-23 hours

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* 11. Longer bookings

	1 day	2 days	3 days	more
Once a week	Once a week 1 day	Once a week 2 days	Once a week 3 days	Once a week more
Once a month	Once a month 1 day	Once a month 2 days	Once a month 3 days	Once a month more
A few times a year	A few times a year 1 day	A few times a year 2 days	A few times a year 3 days	A few times a year more
Once a year	Once a year 1 day	Once a year 2 days	Once a year 3 days	Once a year more
Only in an emergency	Only in an emergency 1 day	Only in an emergency 2 days	Only in an emergency 3 days	Only in an emergency more

Thank your for taking the time to complete this survey. Your response will be complete when you click the done button below.

If you would like further information about a car club for Upper Anandale then please contact Moffat CAN by phone: 01683 221847 or email: info@moffatcan.org or online at: http://www.moffatcan.org/

You can find out more about car-sharing at: http://www.carplus.org.uk