1.	When you go outside your house, for example to go shopping, visiting or to go to the Surgery, what walking aids do you use most often?
	Wheelchair, manual
	Wheelchair, powered
	One walking stick
	Two walking sticks, or elbow crutches
	Arm crutches, or walking frame

	None (Please state mobility impairment)
	Other (Please specify)

2.	When you travel more than about half a mile from your home, do you need someone to assist you?
	Yes, I must always have assistance
	I can manage on my own, but it helps to have assistance
	No, I can manage perfectly well on my own
	I never travel that far

3.	How often do you normally go out?
	5 or more times a week
	1 to 4 times a week
	Once a fortnight
	Once a month
	Less often

4.	When you go out, what sort of transport do you use?
	Bus or Mini Bus
	Access Bus
	Walk
	Driving a Car
	Passenger in a car
	Ambulance
	Taxi
	Hire Car

5.	Which of the following methods of travel (if any) are you prevented from using by your mobility impairment?
	Driving as car
	Passenger in a car
	Mini Bus
	Conventional Bus
	Train
	Taxi
	Hire Car

ABOUT YOUR LAST TRIP BY TAXI OR HIRE CAR

6.	Have you made a trip by taxi or private hire car in the last month?
	Yes, by taxi (please go to Q12)
	Yes, by hire car (please go to Q12)
	No

If NO please go straight to question 12, If yes please continue with Question 7

7.	How did you obtain your taxi/hire car on your last trip?
	Booked by phone
	Flagged down in the street
	At a rank

Other (please specify)

8.	On your last taxi trip, were you able to make a booking with the first operator you tried?
	Yes
	No

	If your booking was immediate, how long did it take the car to arrive
	If your car was pre-booked, how close to the booked time did it arrive?

After obtaining your taxi / hire car, were you satisfied with each of the following aspects of the trip?

9.	The time taken to obtain the car
	Yes
	No

10.	The ease of getting in and out of the car
	Yes
	No

11.	The helpfulness of the driver
	Yes
	No

About your use of taxis / hire cars generally

12.	How often do you use taxis / hire cars
	5 or more times a week
	1 to 4 times a week
	Once a fortnight
	Monthly
	Less often

13.	What kind of taxi / hire car do you prefer
	Specialist Wheelchair accessible vehicle
	Saloon car
	No preference

Other (please specify)

14.	When you ring for a taxi / hire car, do you always use the same fire
	Yes
	No
	Don't ring

15.	If you answere yes to Q14, why do you choose that firm
	It's located near by
	Staff are helpful
	All vehicles are metered
	Habit

Other (please specify)

16.	If you don't use taxis, what is the main reason
	I don't go out very often
	Too expensive
	Taxis are difficult to obtain
	Taxis are difficult to use
	Buses are adequate
	Car available

Other (please specify)

17.	Do you think taxis / hire cars are easy enough to obtain in Dover District
	Yes
	No

18.	If taxis / hire cars were easier to use, how often would you use them
	5 or more times a week
	1 to 4 times a week
	Once a fortnight
	Once a month
	Less often
	Never

19.	What would you like to see done to make taxis/hire cars in the Dover area easier to use?
	Divers should be more helpful
	The cars should be bigger
	The cars should be fitted with a swivel seat so that I can get in /out more easily
	I should be able to travel without leaving my wheelchair
	A lower step on the vehicle
	Grab handles
	Cheaper fares
	Taxis should be easier to obtain
	They do not need improvement

Other (please specify)

20.	Are you
	Male
	Female

21.	Your age group
	Under 24
	24 - 29
	30 - 44
	45 - 54
	55 - 64
	65 or over

22.	So that we can understand problems in individual areas, would you please let us have your postcode

23.	Any additional comments

All respondents identities will be kept confidential

Thank you for taking the time to complete this survey