Public Inter-Community Transit in Manitoba: Community Survey Survey participants will be entered to win one of three, $100 Visa Gift Cards Back to main study page Step 1 of 5 20% SURVEY CONSENT FORMName of study: Public Inter-Community Transit in Manitoba Funded by: Climate Action Team ManitobaPrincipal Investigator: Hannah Muhajarine email@example.com 639-317-5317This consent form is only part of the process of informed consent. It should give you the basic idea of what the research is about and what your participation will involve. If you would like more detail about something mentioned here, or information not included here, you should feel free to ask. Regardless of whether you accept or decline to participate in this study, confidentiality will be maintained. A copy of this consent form will be sent to you for your records and reference. Introduction: This research is on the current state of rural public transit between communities in Manitoba. Climate Action Team seeks to propose climate solutions—like public transit—that will benefit a broad range of Manitobans, especially rural communities, and make life more affordable, easier, and safe for all. This project is about understanding the gaps in rural public transit between communities, and what needs may exist that are going unmet. We also hope to find out what kinds of solutions best fit communities’ needs. You are being invited to fill out a survey which should take about 10 minutes to complete. You will be asked to provide some basic information about yourself and the community where you live, your typical ways of and reasons for travelling between communities, and your ideas for what could make travelling between communities easier for you. The survey is open from November 6 - December 8, 2023. The final report will be published by CCPA Manitoba and Climate Action Team Manitoba, and other materials (social media graphics, infographics, policy brief) will be distributed by Climate Action Team Manitoba in early 2024. Consent: Please read through this consent form carefully, digitally sign it, and save a copy before completing the survey. If you have any questions please contact the Principal Investigator, Hannah Muhajarine (contact info above). Confidentiality: All survey data will be aggregated so that individual answers cannot be identified, and stored on the Principal Investigator’s password-protected computer. Data will only be accessible by the Principal Investigator. The data will be destroyed six months following the publication of the report (approximately July 31, 2024). Risks: Thinking about the hardships, risks, and consequences of a lack of adequate public transportation may be emotionally upsetting. Should you need support, you can call the Klinic Crisis Line at any time at (204) 786-8686 or Toll free: 1-888-322-3019 or the Klinic Rural and Northern Support Line, Toll free: 1-866-367-3276. For more information visit: klinic.mb.ca/crisis-support. Right to Refuse or Discontinue: You can revoke your consent to participate by closing the survey at any time. You can also request to have any or all of your survey answers removed from the study findings by contacting the lead researcher (contact information above) up until December 15, when the report is being finalized.Consent(Required) I confirm that my participation in this research project is voluntary. I acknowledge that I have the right to stop participating in this research whenever I wish. I understand that the researchers will not identify me (either by name or other identifying information) in any reports using information captured from this survey. I understand that the researchers will publish the findings in a report, along with other materials (social media graphics, infographics, policy brief) that will be shared with the general public and with policymakers. (Optional) I would like to receive a brief summary of the research results when they are ready (est. early 2024). My email or mailing address is: This research has been approved by the CCPA Manitoba Research Ethics Committee. If you have any concerns or complaints about this project you may contact Hannah Muhajarine (the Principal Investigator) or the CCPA-MB Research Ethics Committee at CCPA Manitoba: (204) 927-3200 or firstname.lastname@example.org. Name(Required) First Last Email A copy of the signed consent form will be sent to you for your records and referenceSignature(Required)Date(Required) Month Day Year Would you like to enter to win one of three, $100 Visa Gift Cards? Yes No What's the best way to contact you if you win?(Required) Phone Email Please confirm your email(Required) Phone(Required)How did you hear about this survey? Social media Climate Action Team website An organization/club I'm a member of Poster Email invite from the Climate Action Team Other Are you interested in signing up to receive monthly(ish) email updates from Manitoba's Climate Action Team about ways Manitobans can affordably transition away from fossil fuel? Yes No Thank you for filling out this survey on rural public transit between communities in Manitoba! Your input will be used to understand the gaps in the current system and what rural Manitobans need, and to build the case for better rural inter-community transit in our province. All data collected from this survey will be used in a research paper to be published by Climate Action Team Manitoba in early 2024. Before you begin, please take a moment to fill out this consent form below. Please note that for research ethics purposes, only adults over 18 may fill out the survey. All survey participants will be entered in a draw to win one of three $100 Visa gift cards (must include contact information in consent form). We estimate the survey will take about 10 minutes to complete. Note: Reflecting on these questions and the hardships, risks, and consequences of a lack of adequate public transportation may be emotionally upsetting. Should you need support during or after filling out the survey, you can call the Klinic Crisis Line at any time at (204) 786-8686 or Toll free: 1-888-322-3019 or the Klinic Rural and Northern Support Line, Toll free: 1-866-367-3276. For more information visit: klinic.mb.ca/crisis-support. DEMOGRAPHICSWhat is your gender?(Required) Woman Man Transgender Woman Transgender Man Non-binary Two-Spirit Prefer not to answer Other What is your age?(Required) 18-29 30-49 50-64 65+ Prefer not to answer What is your ethnicity?(Required) Indigenous (First Nations, Metis, Inuit) White Visible minority Prefer not to answer Other What was your total annual net household income last year?(Required) Less than $20,000 $20,000 - $50,000 $50,000 - $80,000 $80,000 - $110,000 $110,000 - $140,000 $140,000 - $170,000 $170,000 - $200,000 $200,000+ Prefer not to answer Did you access EIA or other financial benefits last year?(Required) Yes No Prefer not to answer Do you live with a physical disability?(Required) Yes No Prefer not to answer Other Which best describes the community where you live?(Required) Rural area/farm Small town Small city Winnipeg Metropolitan Area Winnipeg Other Do you live in an Indigenous community?(Required) First Nations reserve Métis community No Prefer not to answer Other What part of the province do you live in?(Required) Northern Central (Interlake or Parkland) Southwest (Westman) Southeast (Eastman) Southcentral (Central Plains or Pembina Valley) Winnipeg or Winnipeg region Prefer not to answer Other BACKGROUNDHow do you typically travel between communities within Manitoba? A. Drive your own car(Required) Usually Sometimes Not Often Rarely Never B. Someone drives me(Required) Usually Sometimes Not Often Rarely Never C. Handi-Van(Required) Usually Sometimes Not Often Rarely Never D. Bus(Required) Usually Sometimes Not Often Rarely Never E. Train(Required) Usually Sometimes Not Often Rarely Never F. Plane(Required) Usually Sometimes Not Often Rarely Never Do you own a vehicle?(Required) Yes No Prefer not to answer What type of engine do you have?(Required) Gas Diesel Electric Other What type of vehicle do you have?(Required) Car Truck Other Do you have plans to purchase an electric or hybrid vehicle?(Required) I own one I have plans to purchase one in the next year or so I would like to purchase one but cannot due to cost I would like to purchase one but cannot due to lack of charging infrastructure or another reason No Other How often do you travel outside of your community?(Required) Everyday or several times a week Once a week Once a month Less frequently than once a month Other What is your most common destination? (check all that apply) Another small community The main town or city in your area (e.g. Brandon, Thompson, Winnipeg, etc.) Winnipeg (even though it is not the main city in your region) What are your typical reasons for travelling between communities? (check all that apply) Grocery or other essential shopping Visiting family/friends Medical care Education Work Other What is/are the other reason(s) you typically travel between communities? DOCUMENTING NEEDWhen it was available in Manitoba, did you ever travel via Greyhound bus?(Required) Very often (once a month or more) Sometimes (once or twice a year) Not often (less than once a year) Never Other Have you ever travelled with one of the following bus companies? (select all that apply) Rider Express Kasper Transportation Maple Bus Lines Mahihkan Bus Lines NCN Thompson Bus Brandon Air Shuttle Haven't travelled with any of these Was it satisfactory?(Required) Yes No Why not?(Required) Limited routes Convenience (timing of departure/arrival, travel time, stop location etc.) Cost Safety Accessibility Other Why else was it not satisfactory? If you have a physical disability, do you find there are adequate (accessible, safe, convenient etc.) transportation options available to you for travelling between communities? Yes No N/A Please explain further if you wish Do you find current transportation options (vehicle, air, bus, or other) satisfactory for medical travel (ie allowing you to access health and medical care in other communities in a convenient, timely, and safe way)?(Required) Yes No Unsure Prefer not to answer Please explain further, if you wish Imagine your municipality or the provincial government were to introduce a new public rural bus service (intended to fill current gaps and ensure consistent service long-term). Which of the following two models would fit your needs the best?Imagine your municipality or the provincial government were to introduce a new public rural bus service (intended to fill current gaps and ensure consistent service long-term). Which of the following two models would fit your needs the best?(Required)Scheduled service: Fixed routes, schedules, and stops, Covers a larger region with longer and more routes, Full-size busses, Operated by the province (Example: Greyhound, Ontario Northland, or Saskatchewan Transportation Company Model) On-demand: Routes, schedules, and stops are more flexible and responsive to passengers’ requests, Covers a smaller region with more limited routes, Mini-buses or vans, Operated by individual municipalities (Example: handi-van model but for general use) SELECTScheduled serviceOn-demandI would use bothN/A - I wouldn't use eitherIf there were such a public rural bus service in your community (with affordable fares, convenient scheduling, service to the cities/towns you most frequently visit, and fully accessible), would you use it, and if so, how often?(Required) Every day or several times a week Once a week Once a month Less frequently than once a month I wouldn’t use it Why wouldn't you use it?(Required) Would a public rural bus service (with affordable fares, convenient scheduling, and service to the cities/towns you most frequently visit, and fully accessible) make any of the following things easier:(Required) Accessing healthcare Shopping Visiting friends & family Reducing the environmental impact of travelling Save on travel costs (gas, vehicle costs, etc.) N/A Other What else would a public rural bus service make easier? Do you think a public rural bus service (with affordable fares, convenient scheduling, and service to the cities/towns you most frequently visit) would generally improve your life?(Required) Yes No Please elaborate if you wish Is there anything else you wish to add: about your experiences and challenges travelling between communities in Manitoba; the current options available for rural bus service; what you would like from a public rural bus service, etc.?