ACTIVE TRAVEL INTEGRATED NETWORK MAP
WALKING QUESTIONNAIRE
1. Please indicate which town/village you are responding in relation to (please tick only
one) NB: If you wish to provide information for more than one, please use a separate form
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Fishguard and Goodwick
Haverfordwest
Johnston
Milford Haven
Neyland
Pembroke
Pembroke Dock
Tenby
Saundersfoot
Narberth
2. Please tell us about any regular journeys you make (by any means) within, or in the
vicinity of, the town/village? (e.g. home to work)
Starting point (post code/ street)
Destination (post code /street )
3. Do you walk within, or in the vicinity of, this town/village? (please tick only one)
 Yes – now go to 4
 No – now go to 8
4. How often do you walk to a facility within, or in the vicinity of, this town/village? (please
tick only one)
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Daily
2/3 times a week
Weekly
2/3 times a month
Less than once a month
5. Where do you walk to within, or in the vicinity of, this town/village? (please tick only
one)
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Work
School/College
Shopping
Social Visits
Leisure
Health Appointments
6. Do you use shared routes (i.e. with cyclists)? (please tick only one)
 Yes, often
 Yes, sometimes
 No, never
7. How satisfied or dissatisfied would you say you are with current facilities for walking
within, or in the vicinity of, the town/village? (please tick only one)
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Very satisfied – now got to 9
Satisfied – now go to 9
Neither satisfied or dissatisfied – now go to 9
Dissatisfied – now go to 9
Very dissatisfied – now go to 9
8. What is the main reason you do not walk within, or in the vicinity of, this town/village?
(please tick only one)
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Health
Routes not suitable
Time constraints
Weather inclement
Fitness
Other, please specify
9. Are there changes that we could make that would encourage you to walk more within,
or in the vicinity of, this town/village? (please tick only one)
 Yes
 No – now go to 11
10. If yes, please tell us what you think the three most important changes would be:
1.
2.
3.
Integrated Network Map
Please have a look at the map for the town/village you are responding about.
11. What tell us which routes shown on the maps would you like to see introduced?
Further Contact
12. Would you be happy for us to contact you to discuss points you have raised if we need
to? (please tick only one)
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Yes – now go to question 12a
No – now go to question 13
12 a. If yes, please provide your contact details below (including name, address, telephone
number and/or email address)
About you
You are being asked the following information for Equalities Monitoring purposes. It will be used
for statistical purposes only. All the information you provide will be treated confidentially and
handled in accordance with the Data Protection Act 1998.
13. In which language do you prefer to communicate? (please tick only one)
 English
 Welsh
 Prefer not to say
Other, please specify ........................................................................................................................
14. Are you (please tick only one)
 Male
 Female
 Prefer not to say
15. Are you (please tick only one)
 Aged 16 or under
 Aged 17 – 24
 Aged 25 – 44
 Aged 45 – 64
 Aged 65 – 74
 Aged 75 or over
 Prefer not to say
16. Do you have dependent children under the age of 18 (on 31st December 2016)? (please
tick only one)
 Yes
 No
 Prefer not to say
17. Do you provide regular, unpaid, substantial care for a relative, friend or neighbour who
is unable to manage at home without help because of sickness, age or disability? (please
tick only one)
 Yes
 No
 Prefer not to say
18. Are your day to day activities limited because of a health problem or disability which
has lasted, or is expected to last, at least 12 months? (please tick only one)
 Yes – now go to question 18
 No – no further questions
 Prefer not to say – no further questions
19. If yes, please indicate which of the following best describes the nature of your
disability (please tick all that apply)
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Learning disability
Physical disability
Visual impairment
Hearing impairment
Mental health condition
Prefer not to say
Your help is much appreciated
Thank you for your time
The closing date for responses is .............................................
Please respond return to: [email protected] or Pembrokeshire County Council,
Marketing 2D, County Hall, Haverfordwest, SA61 1TP