*All fields are mandatory
Name in full
Address
Postcode
Phone
Email
Have you used the bus before?
Yes
No
If not please state why?
When was the last time you used the bus?
In the last month
2-5 months
6-12 months
Over a year ago
Never
What is your work postcode?
Do you know the nearest bus route to your home?
Yes
No
Do you have access to a car?
Yes
No
If you used the bus what would you use it for?
Work
Shopping
Leisure
Evening out
Other
Would you like us to call you about the best bus and ticket for you?
Yes please
No thankyou
Would you like to get helpful bus updates and special offers?
Yes please
No thankyou
