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* 1. What is your age?

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* 2. What is your local authority area?

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* 3. Do you consider where you live to be:

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* 4. Has the cost of public transport stopped you from accessing education?

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* 5. Has the cost of public transport stopped you from accessing employment?

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* 6. If you currently travel for education what modes of transport do you use?

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* 7. If you currently travel for employment what modes of transport do you use?

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* 8. If you currently travel for education, how much does your daily commute cost?

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* 9. If you currenty travel for employment how much does your daily commute cost?

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* 10. How far do you currently travel for education (round trip)?

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* 11. How far do you currently travel for employment (round trip)?

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* 12. Have you taken a job as it had very little or no travel cost?

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* 13. If public transport was free, how far would you be willing to travel for employment or education?

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* 14. Is there anything else you would like to add? 

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* 15. Please add your email if you would like to sign up to our newsletter and receive more information on our campaign.

Thank you for responding! You can find more information about our work on the Scottish Rural Action website.

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