Community Bus Survey Community Bus Survey Fields marked with an * are required Would you use a Community Bus? Hello, the parish councils know that for many residents (especially those who don’t drive), accessing social activities in neighbouring villages, going to the shops or even visiting loved ones in nursing homes, can be really difficult given that we have a limited public transport service. So, the local councils (Pitstone, Marsworth, Ivinghoe and Cheddington) are gathering information about the types of activities and places that you feel you would like to be able to reach, to assess whether a community minibus service in the local villages would help to break down these barriers. It may be able to offer some services where it collects residents from their homes, or some set routes. We need as many people as possible to complete the survey so that we can investigate providing the most suitable service. You can complete the survey online here until Friday 1 November 2019. 1. Name of the parish you live in * Pitstone Marsworth Cheddington Ivinghoe Blank Box 2. Fields cannot be blank. Please enter 0 where required Total header How many people in your household in this age group? Disability Total Header How many of these people have a disability? <18 years <18 years <18 total * <18 disability * 18-59 years 18-59 years 18-59 total * 18-59 disability * 60-79 years 60-79 years 60-79 total * 60-79 disability * 80+ years 80+ years 80+ total * 80+ disability * 3. How many journeys does everyone in your household make (add them all up) by public transport each week * 4. How many journeys do you estimate that everyone in your household might make (add them all up) each week, getting to activities, if a community bus was available * 5. Where would you like to go, but can’t reach via public transport at the moment? (please tick all that apply) * Day Centres Sheltered Housing Nursing Homes Local hospital / health care / physio appointments Community activities like Nifty Fifties / Health Walks / Over 60’s Clubs / Dementia Clubs Markets Shopping Library Theatre Day trips Leighton Buzzard Neighbouring villages None of the above (please complete 'Other' below) Other (please state) 6. How many people in your household would need to be collected from home? Eg if you can’t walk very far (enter 0 if none) * 7. If you can walk to a local main road, please say which road you would like to catch a community bus from HTML 8. A community bus for our villages would need a large number of volunteers to get started up and keep running successfully. If you would be interested in getting involved in the committee, helping co-ordinate the bus, as a driver or assisting with maintenance, please give us your name, phone number and email address, and tick the box below confirming we have you’re your permission to contact you regarding this project. I (name) HTML Copy would like to help the community bus project.Please contact me on the details below: Phone number Email address HTML Your local parish council will provide details of the results, and any updates on the project, via your parish magazines and/or their websites. Thank you for your help. Pitstone, Marsworth, Ivinghoe and Cheddington Parish Councils Please confirm that you have not submitted a paper version of this questionnaire * If you are a human seeing this field, please leave it empty.