Connections: Community-Transport-Health-Initiative

Lancefield and Romsey Neighbourhood Houses have been funded to research transport needs in the community.

We invite you to share your thoughts and experiences to enable us to determine the transport needs of our community.

The survey is designed in two sections, medical and social. 

Please answer questions taking into account all members of your household.

Which area do you live in (please tick correct answer)

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* 1. Which area do you live in (please tick correct answer)

Your age

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* 2. Your age

How many people live in your household per age group (excluding yourself)?

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* 3. How many people live in your household per age group (excluding yourself)?

Whilst living in the district of Romsey and Lancefield, have you ever needed to travel outside of the district for medical appointments?

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* 4. Whilst living in the district of Romsey and Lancefield, have you ever needed to travel outside of the district for medical appointments?

If you answered yes, to question 4, please tick what kind of transport you have used. If you answered no, please go to question 6.

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* 5. If you answered yes, to question 4, please tick what kind of transport you have used. If you answered no, please go to question 6.

Have you ever delayed making or postponed a medical appointment due to lack of available transport?

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* 6. Have you ever delayed making or postponed a medical appointment due to lack of available transport?

If yes, this was because? (tick as many as applicable)

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* 7. If yes, this was because? (tick as many as applicable)

What suburb/ suburbs was this appointment in?

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* 8. What suburb/ suburbs was this appointment in?

What method of transport do you use to get to local appointments?

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* 9. What method of transport do you use to get to local appointments?

Have you ever been to a medical appointment and then been unable to get home due to transport issues?

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* 10. Have you ever been to a medical appointment and then been unable to get home due to transport issues?

If you answered yes to question 11, can you briefly explain what happened?

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* 11. If you answered yes to question 11, can you briefly explain what happened?

If you were unable to arrange your own transport to or from an appointment would you consider using a community transport option?

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* 12. If you were unable to arrange your own transport to or from an appointment would you consider using a community transport option?

If you answered yes to question 12,  which options would you be happy using?

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* 13. If you answered yes to question 12,  which options would you be happy using?

Would you be prepared to pay a fee for a community transport service?

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* 14. Would you be prepared to pay a fee for a community transport service?

If you would consider paying a fee, what would you consider an appropriate amount for, example, a return trip to Melbourne in a private care driven by a community volunteer?

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* 15. If you would consider paying a fee, what would you consider an appropriate amount for, example, a return trip to Melbourne in a private care driven by a community volunteer?

Please indicate how many times you and your household members have needed to access the following locations for medical appointment in the last 12 months.

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* 16. Please indicate how many times you and your household members have needed to access the following locations for medical appointment in the last 12 months.

Is there any other helpful information you would like to add?

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* 17. Is there any other helpful information you would like to add?

Social  
Whilst living in the district of Romsey and Lancefield, have you ever used public transport to access social opportunities (eg visiting friends, cinemas, shopping, and leisure centres).

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* 18. Social  
Whilst living in the district of Romsey and Lancefield, have you ever used public transport to access social opportunities (eg visiting friends, cinemas, shopping, and leisure centres).

If you answered yes, please tick what kind of public transport you used

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* 19. If you answered yes, please tick what kind of public transport you used

Does the public transport schedule support social activities (eg visiting friends, cinemas, shopping, and leisure centres)?

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* 20. Does the public transport schedule support social activities (eg visiting friends, cinemas, shopping, and leisure centres)?

If no please explain briefly

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* 21. If no please explain briefly

Does the public transport schedule support attendance at education institutions?  (ie can you get there on time, get home at a reasonable hour)

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* 22. Does the public transport schedule support attendance at education institutions?  (ie can you get there on time, get home at a reasonable hour)

If no, please explain briefly

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* 23. If no, please explain briefly

Have you ever been stranded due to a lack of public transport (eg the train has been late and the coach has left before you get there)?

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* 24. Have you ever been stranded due to a lack of public transport (eg the train has been late and the coach has left before you get there)?

If yes, please explain

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* 25. If yes, please explain

What areas would you like to access for social activities or for education?

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* 26. What areas would you like to access for social activities or for education?

If you were to use a transport service to access social activities, which would you prefer?

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* 27. If you were to use a transport service to access social activities, which would you prefer?

Would you be prepared to pay a fee for a community transport service?

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* 28. Would you be prepared to pay a fee for a community transport service?

Would you be interested in being a volunteer driver for social activities in:

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* 29. Would you be interested in being a volunteer driver for social activities in:

Would you be interested in being a volunteer driver for medical needs:

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* 30. Would you be interested in being a volunteer driver for medical needs:

Would you be interested in being a volunteer in our community transport project trial?

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* 31. Would you be interested in being a volunteer in our community transport project trial?

Is there any other helpful information you would like to add or ideas you may have regarding transport?

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* 32. Is there any other helpful information you would like to add or ideas you may have regarding transport?

If you are happy to be contacted in regards to further information about the Transport survey, to help out or you answered yes to the volunteer driver question, please add your name, email and/or phone number below.

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* 33. If you are happy to be contacted in regards to further information about the Transport survey, to help out or you answered yes to the volunteer driver question, please add your name, email and/or phone number below.

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