Exit this survey ParaQuad Transport Working Group Survey - Lower Hunter This information will strictly remain confidential and will be used by the ParaQuad Transport Working Group for the purpose of improving access to public and private transport options for people with a physical disability that live in Lower Hunter Region Background Information: Question Title 1. Date of Birth: DD/MM/YYYY Date Question Title 2. Gender Male Female Question Title 3. Suburb of Resdence City/Town: Question Title 4. Language spoken: Question Title 5. Disability Type: Paraplegia Quadraplegia Cerebral Palsy Muscular Dystrophy Other (please specify) Question Title 6. Primary source of income: Disability Support Pension Compensation Employment Other (please specify) Question Title 7. Assistance required to access transport? Yes No Question Title 8. How well do you think your transport needs are met at present? Very well Well Occasionally Not at all Please Explain: Question Title 9. If you have a restriction on your transport needs please rank Most Significant Significant Moderate Not Significant Fare cost Fare cost Most Significant Fare cost Significant Fare cost Moderate Fare cost Not Significant Purchase cost Purchase cost Most Significant Purchase cost Significant Purchase cost Moderate Purchase cost Not Significant Availability of services Availability of services Most Significant Availability of services Significant Availability of services Moderate Availability of services Not Significant Reliability Reliability Most Significant Reliability Significant Reliability Moderate Reliability Not Significant Reliance on others Reliance on others Most Significant Reliance on others Significant Reliance on others Moderate Reliance on others Not Significant Other (please specify) Question Title 10. Do you feel that transport providers understand your needs? Please comment Question Title 11. What is your usual mode of transport? Use Frequently Use Occassionally Do not Use Bus Bus Use Frequently Bus Use Occassionally Bus Do not Use Wheelchair Accessible Taxi Wheelchair Accessible Taxi Use Frequently Wheelchair Accessible Taxi Use Occassionally Wheelchair Accessible Taxi Do not Use Community Transport Community Transport Use Frequently Community Transport Use Occassionally Community Transport Do not Use Private Vehicle Private Vehicle Use Frequently Private Vehicle Use Occassionally Private Vehicle Do not Use Train Train Use Frequently Train Use Occassionally Train Do not Use Ferry Ferry Use Frequently Ferry Use Occassionally Ferry Do not Use Other (please specify) Question Title 12. How well are the following transport options meeting your needs? Very well Well Somewhat Not at all Wheelchair Accessible Taxi Wheelchair Accessible Taxi Very well Wheelchair Accessible Taxi Well Wheelchair Accessible Taxi Somewhat Wheelchair Accessible Taxi Not at all Bus Network Bus Network Very well Bus Network Well Bus Network Somewhat Bus Network Not at all Train Network Train Network Very well Train Network Well Train Network Somewhat Train Network Not at all Community Transport Community Transport Very well Community Transport Well Community Transport Somewhat Community Transport Not at all Private Vehicle Private Vehicle Very well Private Vehicle Well Private Vehicle Somewhat Private Vehicle Not at all Please Comment: Question Title 13. What would increase your use of the following transport options? Wheelchair Accessible Taxi Bus Train Community Transport Subsidy / Concession Increase Subsidy / Concession Increase Wheelchair Accessible Taxi Subsidy / Concession Increase Bus Subsidy / Concession Increase Train Subsidy / Concession Increase Community Transport Increase in vehicles available / Frequency Increase in vehicles available / Frequency Wheelchair Accessible Taxi Increase in vehicles available / Frequency Bus Increase in vehicles available / Frequency Train Increase in vehicles available / Frequency Community Transport Reliability Reliability Wheelchair Accessible Taxi Reliability Bus Reliability Train Reliability Community Transport Improved Service e.g Driver Training Improved Service e.g Driver Training Wheelchair Accessible Taxi Improved Service e.g Driver Training Bus Improved Service e.g Driver Training Train Improved Service e.g Driver Training Community Transport Other (Please Explain) Question Title 14. Are there particular peak periods where accessing transport is more difficult than others? Yes No please give an example, this could be weekdays or weekend Question Title 15. Additional Feedback Question Title 16. Would you like more information about the Transport Working Group? Name: Postal Address: City/Town: * State: Post Code: Email Address: Thankyou very much for participating in this survey. We appreciate your time. Your Survey can be posted using the ParaQuad self addressed envelope enclosed or faxed to (02)49616101. If you have any queries please contact Melanie Lloyd, ParaQuad Community Development Officer (Newcastle Region) Phone: (02) 49696388, Email: melanie.lloyd@paraquad.org.au. Done