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Port-Based Welfare Services for Seafarers

1.What is your age?(Required.)
2.Are you male or female?(Required.)
3.What is your current position on board?(Required.)
4.What type of ship are you serving on currently?(Required.)
5.What are the last 3 ports your ship called at?(Required.)
6.Below is a list of port based welfare services. How important are each of these to you?(Please tick one box for each service)(Required.)
Not important
1
2
3
4
Very important
5
Internet access
Money Change
Money Remittance
On shore accommodation
Chaplaincy services (religious counselling, Mass, blessings etc)
Sport facilities
Organised sightseeing
Book/film exchange
Transport to town
Transport to seamen's club 
Transport to shopping mall
Transport to place of worship (Temple/Mosque/Church)
Port based medical clinic
International phone calls
7.How good are these services in the ports you have visited during your current contract? (Please tick one box for each service)(Required.)
Poor
Fair
Good
Excellent
Internet access
Money Change
Money Remittance
On shore accommodation
Chaplaincy services (religious counselling, Mass, blessings etc)
Sport facilities
Organised sightseeing
Book/film exchange
Transport to town
Transport to seamen's club 
Transport to shopping mall
Transport to place of worship (Temple/Mosque/Church)
Port based medical clinic
International Phone Calls
8.When did you last see a seafarers' welfare worker (from a seamen's club or mission) aboard your vessel during your current contract?(Required.)
9.What did the seafarers' welfare worker do during his/her visit on board your vessel?
10.What else could the seafarers' welfare worker have done which might have been more useful for you?
11.Were you satisfied with the services you received during the visit from the seafarers' welfare worker?(Required.)
12.Do you know which organisation the seafarers' welfare worker was from?(Required.)
13.Have visits on-board your vessel by seafarers' welfare workers (from seamen's club or missions) been important to you?(Required.)
14.How important is it to you to have seamen's clubs in ports that you visit?(Required.)
Not important
1
2
3
4
Very important
5
15.Is there any particular seamen's club(s) you would like to re-visit?(Required.)
16.How much would you be willing to pay for the following services provided by seamen's clubs or missions?(Required.)
Not willing to pay
1 USD
5 USD
10 USD
25 USD
50 USD
more than 50 USD
Internet access (per hour)
Money change
Money remittance
On shore accommodation
Chaplaincy services (religious counselling, Mass, blessings etc)
Sport facilities
Organised sightseeing
Book/film exchange
Transport to town
Transport to seamen's club 
Transport to shopping mall
Transport to place of worship (Temple/Mosque/Church)
Port based medical clinic
International phone calls
17.How do you communicate with people at home, while you are away at sea? Choose all that apply(Required.)
18.On average, how much is your monthly communication cost in USD?(Required.)
19.Do you have access to internet on board?(Required.)
20.How many times have you had shore leave during the last 4 weeks that you have been on board?(Required.)
21.Have you been outside the port area on shore leave during the last 4 weeks?(Required.)
22.If you went beyond the port gates, which form of transport did you use? Choose all that apply(Required.)
23.On average how long is the turnaround time in port of your current or last ship?(Required.)
24.What are the main reasons for not going ashore? (choose all that apply)(Required.)
25.Given a choice, while on shore leave, what would you prefer to do?(Required.)
26.Which services or facilities could improve your well-being on board your ship?
27.Which services or facilities could improve your well-being while you are in port?