NHS Western Isles Active Travel Study

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About you

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1. Please provide your postcode for data mapping purposes:

2. What is your gender

Male
Female
I identify in a different way
Rather not say

3. Please state your age range

Under 16
16-25
26-40
41-60
Over 60

4. Do you have disability or medical condition that affects your mobility?

Yes
No
Rather not say

5. How often do you currently walk or cycle?

More than 5 times a week
4-5 times a week
3-4 times a week
1-2 times a week
I rarely walk or cycle

6. How often do you access the Western Isles Hospital in Stornoway?

Every week
Every month
Once or twice a year
Never
Other (please specify):

7. How often do you access the Ospadal Uibhist agus Bharraigh on Benbecula?

Every week
Every month
Once or twice a year
Never
Other (please specify):

8. How often do you access St. Brendan’s Hospital on Barra?

Every week
Every month
Once or twice a year
Never
Other (please specify):

9. If and when you do visit the hospital, how would you usually travel?

Walk
Cycle
Bus
Car
Other (please specify):

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