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Introduction

Thank you for choosing to participate in this walking / cycling activity.
We’d like to ask some questions about your current travel and the journeys that you typically make.
This information will be extremely useful in helping us to understand the impact of the activity you have taken part in.
These questions should take about 10 minutes to fill in.

This information will be collected on behalf of Bristol City Council to help inform walking and cycling projects we fund. This information will be held by Bristol City Council and anonymised data is shared with Department for Transport to monitor the project. The Privacy Notice for this project can be found at: https://travelwest.info/pages/privacy-policy 
 
Department For Transport (DFT) provide funding for most of the sustainable travel work that we do. They are trying to gain a more accurate picture of the  people who benefit from programs they fund across the country. This will help them better understand, adjust and allocate funding but also aid us in seeing which programs are meeting its objectives. Please fill in as many of the questions below as you feel comfortable.

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* 1. Which community organisation did you visit?

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* 2. Firstly, we’d like to know a little more about how you currently travel. On average, how often would you say that you currently travel using each of the following:

  5 or more days a week 3 or 4 days a week 1 or 2 days a week  Once or twice a month Less than once a month  Never
Car or van (as the driver) 
Car or van (as passenger) 
Bus, minibus, or coach 
Taxi or minicab 
Motorcycle, scooter or moped 
Bicycle, e-cycle, adapted cycle
Walk for at least 10 minutes as part of your journey

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* 3. How often do you travel by bicycle, e-cycles or adapted cycle for each of the following reasons (If you do not currently cycle skip to question 6).  :

  5 or more days a week  3 or 4 days a week 1 or 2 days a week once or twice a week less than once a month never
To go to/from your place of work 
To go to/from your place of education (e.g. school, college or university, taking kids to school) 
To go somewhere for personal business (e.g. travelling to an appointment) 
To visit friends or family 
To go food or grocery shopping 
To go shopping for things other than food 
To go somewhere for leisure/social reasons (e.g. to entertainment, to play sport or to visit a pub or restaurant)  
To do exercise or for recreation 
For other reasons (please specify) 

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* 4. On average, how much time do you spend cycling per week? Please include any casual cycling in your local area, any cycling in the countryside or on cycling routes, cycling to or from work or any competitive cycling. Please do not include any time spent cycling on a static or exercise bike. 

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* 5. How safe did you feel cycling on roads in your local area?

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* 6. On average how often did you walk for at least 10 minutes as part of your journey, for each of the following reasons (if you do not currently walk for 10 mins anywhere skip to question 10):

  5 or more days a week  3 or 4 days a week 1 or 2 days a week once or twice a week less than once a month never
To go to/from your place of work 
To go to/from your place of education (e.g. school, college or university, taking kids to school) 
To go somewhere for personal business (e.g. travelling to an appointment) 
To visit friends or family 
To go food or grocery shopping 
To go shopping for things other than food 
To go somewhere for leisure/social reasons (e.g. to entertainment, to play sport or to visit a pub or restaurant)  
To do exercise or for recreation 
For other reasons (please specify) 

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* 7. On average, how much time do you spend walking per week? Please include any country walks, walking to and from work or the shops and any other walks you may have done. Please exclude time spent walking around shops. 

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* 8. How safe do you feel walking on roads in your local area?

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* 9. How many vehicles does your household own or have continuous use of at present?

  none one two Three or more
Car or Van
Motorcycle or Moped

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* 10. Do you own or have use of any of the following? (this could include vehicles that you own, loan, hire or use that belong to someone else [e.g. a family member or friend.])

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* 11. How would you rate the following aspects of the activity?

  Very good Good poor Very Poor Unsure/Do not know
Delivery of the activity
Organisation of the activity
Ease of sign-up/registration
Online resources related to the activity
Any paper/physical materials/resources related to the activity

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* 12. What aspects of [the activity] do you think worked well?

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* 13. In what ways do you think [the activity] could be improved?

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* 14. How likely would you be to recommend [the activity] to someone else?

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* 15. Having taken part in [the activity], how often do you expect to travel by each of the following modes:

  5 or more days a week 3 or 4 days a week 1 or 2 days a week  Once or twice a month Less than once a month  Never
Car or van (as the driver) 
Car or van (as passenger) 
Bus, minibus, or coach 
Taxi or minicab 
Motorcycle, scooter or moped 
Bicycle, e-cycle, adapted cycle
Walk for at least 10 minutes as part of your journey

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* 16. Having taken part in [the activity] how often do you expect to travel by bicycle, e-cycles or adapted cycle for each of the following reasons (If you do not currently cycle skip to question 18):

  5 or more days a week  3 or 4 days a week 1 or 2 days a week once or twice a week less than once a month never
To go to/from your place of work 
To go to/from your place of education (e.g. school, college or university, taking kids to school) 
To go somewhere for personal business (e.g. travelling to an appointment) 
To visit friends or family 
To go food or grocery shopping 
To go shopping for things other than food 
To go somewhere for leisure/social reasons (e.g. to entertainment, to play sport or to visit a pub or restaurant)  
To do exercise or for recreation 
For other reasons (please specify) 

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* 17. Having taken part in [the activity] how safe do you feel cycling on roads in your local area?

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* 18. Having taken part in [the activity], how often will you walk for at least 10 minutes as part of your journey, for each of the following reasons (if you do not currently walk for 10 mins anywhere skip to question 19):

  5 or more days a week  3 or 4 days a week 1 or 2 days a week once or twice a week less than once a month never
To go to/from your place of work 
To go to/from your place of education (e.g. school, college or university, taking kids to school) 
To go somewhere for personal business (e.g. travelling to an appointment) 
To visit friends or family 
To go food or grocery shopping 
To go shopping for things other than food 
To go somewhere for leisure/social reasons (e.g. to entertainment, to play sport or to visit a pub or restaurant)  
To do exercise or for recreation 
For other reasons (please specify) 

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* 19. Having taken part in [the activity] how safe do you feel walking on roads in your local area?

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* 20. What age range do you belong

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* 21. We would now like to ask a few final questions about you and your household.

Are you:

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* 22. How would you describe your ethnic group? Choose one option that best describes your ethnic group or background

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* 23. How is your health in general?

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* 24. Do you have any physical or mental health conditions or illnesses lasting or expected to last 12 months or more?

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* 25. Does your condition or illness reduce your ability to carry out day-to-day activities?

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* 26. Does your condition or illness typically impact your ability to do any of the following activities?

  Yes Always Yes Sometimes No Prefer not to say
a) Go out on foot unaided
b) Ride a bicycle
c) Travel on local buses
d) Get in or out of a car

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* 27. Please indicate your current employment status:

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* 28. How many people currently live in your household?

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* 29. What is your estimated household annual income?

0 of 29 answered
 

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