Train mapping form

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Would you like to add information and pictures about public transport assets?It will involve a quick 2 minute survey you can do while you're at a location, and the addition of a few pictures. We'll let you know more.

YESNO

4

What train lines are nearby you? What stations are you willing to map (if you don't mind mapping many, write "Any stations on x lines" or "Any stations"

5

What Bus routes are you close to, and willing to map?

6

Would you also like to test our app, and contribute further in general?We want to map all restaurants, hospitals, medical clinics, pharmacies, accessible bathrooms, parking lots and parking spaces, in Australia! Plus, we'd love to get feedback on our app. And you can earn rewards for doing that.

YESNO

7

What country do you live in?We are focused on Australia for now, but will be going international in time!

8

What is your postcode?

10

Which of the following describes you, if any?

A person with accessibility needs

A carer

A medical professional/service provider

A business

A government/university or other service providing officer

11

Expand on the last question (not mandatory)e.g. I have x or y disease, I am a senior manager at Sydney University etc

12

What challenges do you face when trying to access the world? E.g. Parking, I need accessible bathrooms, I'm immunosuppressed

13

We're building the Google Maps for Accessibility, Knia Maps, to help you know, in advance, how to access a venue, or your community. What would you like in it?E.g. Sanitary bins. I want it to be colour-blind friendly.

14

Do you use an Apple or Android phone?

Apple (iOS)

Android

Other

15

Do you have any stories you'd like to share, or things you'd like our team to know?

16

Do you give permission for us to use quotes from this? NOT mandatory. Only if you're comfortable. We will de-identify these, or contact you before attributing these quotes to you.

YESNO