ParaQuad Transport Working Group Survey

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:

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1. Date of Birth:

DD/MM/YYYY

Date

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2. Gender

Male

Female

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3. Suburb of Resdence

City/Town:

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4. Language spoken:

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5. Disability Type:

Paraplegia

Quadraplegia

Cerebral Palsy

Muscular Dystrophy

Other (please specify)

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6. Primary source of income:

Disability Support Pension

Compensation

Employment

Other (please specify)

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7. Assistance required to access transport?

Yes

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8. How well do you think your transport needs are met at present?

Very well

Well

Occasionally

Not at all

Please Explain:

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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)

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10. Do you feel that transport providers understand your needs? Please comment

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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)

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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:

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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)

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14. Are there particular peak periods where accessing transport is more difficult than others?

Yes

please give an example, this could be weekdays or weekend

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15. Additional Feedback

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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.