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Shopmobility survey
1.
Have you used the Shopmobility service at Chantry Place, Norwich, since Equal Lives took it over and re-opened it in summer 2021?
Yes
No
If no, please go to Question 9.
2.
What type of mobility aid do you usually borrow from us?
Wheelchair
Mobility scooter
Electric wheelchair
3.
Did you make a donation to us when using the service?
(NB: Tick yes if you used the service when it was a paid for service before it became free of charge)
Yes
No
4.
What did you use the mobility aid for? (Tick all that apply)
Shopping for groceries
Shopping (other)
Socialising
Attending an appointment
Other (please specify)
5.
If you are a repeat customer, would you like to be asked your preferred pronouns when you use our service? Pronouns are how we would refer to you, eg he/him, she/her, they/them, etc.
Yes
No
Don't mind
6.
Did you purchase a radar key from us?
A radar key is a key which opens accessible toilets.
Yes
No
7.
Which days do you usually visit the city centre for any purpose, not necessarily just to use the Shopmobility service? (Tick all that apply)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
8.
Lastly, what would improve the Shopmobility service for you?
9.
If you haven't used the Shopmobility service, is there anything we could do that would encourage you to use it in the future?