Survey Questionnaire Example

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Survey Questionnaire Example

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Please find more about “Survey Questionnaire Example” on Amazon: Internet, Mail, and Mixed-Mode Surveys: The Tailored Design Method Survey Questions: Handcrafting the Standardized Questionnaire (Quantitative Applications in the Social Sciences) The Raga Guide: Survey of 74 Hindustani Ragas More results about “Survey Questionnaire Example” Example of a staff travel survey questionnaire All information that you provide will be used in the strictest confidence SECTION A: ABOUT YOURSELF A1 Full Home Postcode Town/Village (1) (2) Yes No A2 Gender A7 (1) (2) Male (1) Female (2) (3) Casual car allowance Company car Free car parking permit Access to a works pool vehicle None of the above Essential car allowance Does your post entitle you to: A3 Age (4) (1) (2) (3) (4) (5) Under 25 25 – 34 35 – 44 45 – 55 Over 55 a A8 Do you normally work (Tick one each from „a‟ and „b‟ and any that apply from „c‟) (1) (2) (1) (2) (3) (1) (2) Full-time Part-time Flexi-time Fixed-hours Shifts Weekends Evenings (5) (6) A4 Where is your usual or main place of work? (1) (2) (3) (4) (5) (6) Workplace 1 Workplace 2 Workplace 3 Workplace 4 Workplace 5 Other A9 a b b b c c Which days do you usually work? (1) Monday Tuesday Wednesday Thursday Friday Saturday Sunday A5 Which Department do you work in? (1) (2) (3) (4) (5) (6) Department 1 Department 2 Department 3 Department 4 Department 5 Department 6 (2) (3) (4) (5) (6) (7) A6 Do you have a health problem or disability that affects your choice of travel to work? A10 What hours do you usually work (e.g. 09:00 to 17:00)? From To SECTION C: TRAVEL BY CAR If you answered „car driver‟ to B13 or B14, please complete this section. Otherwise go straight to section D C15 Where do you usually park? (1) Free on-street parking Paid on-street parking Town Centre long-stay car park Long stay car park outside of Town Centre Staff car park Other (please specify) SECTION B: ABOUT YOUR JOURNEY TO WORK B11 How far do you travel to work each day? (1) (2) (3) (4) (5) B12 Up to 1 mile Over 1 mile and up to 2 Over 2 miles and up to 4 Over 4 miles and up to 10 Over 10 miles C16 (2) (3) (4) (5) (6) How long does it currently take you to get to work? (1) (2) (3) (4) (5) 0 – 15 minutes 16 – 30 minutes 31 – 45 minutes 46 – 60 minutes Over 60 minutes Why do you use a car to travel to work? (tick up to three) (1) (2) (3) (4) (5) (6) (7) Car essential to perform job Dropping off/collecting children Dropping off/collecting partner Health reasons Lack of an alternative Cheaper than alternatives Reliability Comfort Personal safety Quicker than alternatives Other (please specify) B13 How did you travel to work today? (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) B14 Bus Train Tram Bicycle Walked Tax Car driver Car passenger Motorbike/moped Other (please specify) C18 C17 (8) (9) (10) (11) Which of the above is the most important reason? Please insert number from list Which of the following would encourage you to car share? (Please tick up to three) Which of the following do you occasionally use instead of you main mode of transport (tick all that apply)? (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) Bus Train Tram Bicycle Walked Tax Car driver Car passenger Motorbike/moped Other (please specify) None C19 (1) (2) (3) (4) (5) Help in finding a suitable car share partner Free taxi home if let down by driver Reserved car parking for car sharers Reduced car parking charges for car sharers Other (please state) If the measures above were introduced, how often would you consider sharing your car journey to work? (1) (2) (3) (4) (5) Daily 3-4 days per week 1-2 days per week Fortnightly Occasionally (6) Never (please state why) D23 Which of the following improvements would most encourage you to use the train/tram for your journey to work? (1) (2) (3) (4) (5) (6) (7) (8) More direct service More frequent service More reliable service Cleaner/smarter trains/trams Cheaper fares Annual season ticket loan Better quality waiting environment at train/tram stops Better security at train/tram station Easier access to timetable information Having my journey planned for me Frequent Shuttle bus from work to station Other (please state) SECTION D: TRAVEL BY PUBLIC TRANSPORT, CYCLE OR WALKING To be completed by all. If you already use the transport in question, please tick which improvements you would most like to see. D20 Which of the following improvements would most encourage you to use the bus for your journey to work? (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) More direct service More frequent service More reliable service Cleaner/smarter buses Cheaper fares Annual season ticket loan Better quality waiting environment at bus stops Better security at bus station Cleaner/smarter bus station Easier access to timetable information Having my journey planned for me Other (please state) D26 D25 D24 (9) (10) (11) (12) Which is the most important improvement? Please insert number from list above If the above improvements were made, how often would you consider using the train/tram on your journey to work? (1) (2) (3) (4) (5) (6) Daily 3-4 days per week 1-2 days per week Fortnightly Occasionally Never (please state why) D21 Which is the most important improvement? Please insert number from list above Which of the following improvements would encourage you to cycle to work? (1) (2) (3) Improved cycle paths/lanes on the journey to work Improved and secure cycle parking at your workplace Changing facilities, showers and lockers at work Interest-free loan to purchase a bike Discounts at cycle shops Other (please specify D22 If the above improvements were made, how often would you consider using the bus on your journey to work? (1) (2) (3) (4) (5) (6) Daily 3-4 days per week 1-2 days per week Fortnightly Occasionally Never (please state why) D27 (4) (5) (6) Which is the most important improvement? Please insert number from list above D28 If the above improvements were made, how often would you consider cycling on your journey to work? (6) (7) (8) Concerned about safety Quicker than alternatives Other (please specify) (1) (2) (3) (4) (5) (6) Daily 3-4 days per week 1-2 days per week Fortnightly Occasionally Never (please state why) E33 Which of the above is the most important reason for using your car to travel on business? Please insert number from list D29 Which of the following improvements would encourage you to walk to work? (1) (2) (3) (4) (5) (6) (7) Better quality footpaths Safer routes Improved street lighting Improved road crossing facilities Shorter distance between work and home Availability of a walking partner Other (please specify) E34 How often do you use a car for business travel? (1) (2) (3) (4) (5) (6) Daily 3-4 days per week 1-2 days per week Fortnightly Occasionally Never (please state why) D30 Which is the most important improvement? Please insert number from list above E35 Which locations do you frequently travel to on business? (tick all that apply) (1) Location 1 Location 2 Location 3 Location 4 Location 5 Other (please specify) D31 If the above improvements were made, how often would you consider walking on your journey to work? (1) (2) (3) (4) (5) (6) Daily 3-4 days per week 1-2 days per week Fortnightly Occasionally Never (please state why) E36 (2) (3) (4) (5) (6) If your job allowed, would you be interested in any of the following? (tick all that apply) (1) Working from home 4 day week 9 day fortnight Extended flexi hours (e.g. 7am until 7pm) No core time SECTION E: TRAVEL ON BUSINESS E32 If applicable, what are the main reasons for using your car to travel on business? (tick all that apply) (1) (2) (3) (4) (5) Often on call/work unsociable hours Evening meetings Public transport does not go where I need to go Have to visit more than one place Carry bulky equipment and/or cash (2) (3) (4) (5) If you have any further comments to make about your journey to work and/or business travel then please write them below (or on a separate sheet of paper):

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