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* 1. What gender are you?

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* 2. Your age?

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* 3. Are you

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* 4. Have you had to give up your Driving Licence due to a diagnosis of dementia? 

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* 5. Do you live in

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* 6. Do you live in a

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* 7. Country you reside in

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* 8. Do you use public transport?

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* 9. Which mode of transport have you used in the last 6 months?

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* 10. Staying connected to family, friends, clubs/societies, work and interests is critical to a person's wellbeing. What part do you think transport providers could play in helping people stay connected?

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