A study on the mobility related issues of wheel chair users  and their perception towards automation as the solution
This questionnaire is a part of a study intended to understand the mobility issues wheel chair users come across in their day to day life, as well as their perception towards automation as a solution to the problems.

Note: Automation in the context of this survey are robotic tools , bots  and mechanical arms  which help assist the users in doing his/her daily activities.

Your responses are anonymous and  will be used only for research purposes.
Which city do you live in? *
Please choose your respective gender *
Age group *
How much distance do you cover using a wheel chair in a day? *
Do you think the infrastructure for wheelchair users is maintained well in your  city? *
How satisfied are you with the infrastructure to assist the  wheelchair users at the following places? *
Not satisfied
Neutral
Satisfied
Railway stations/ bus stops
Shopping and supermarket
Parks , beaches and other recreational spaces
Restaurants
Office/ school / university
Banks
Please describe in 1-2 sentences any other situation where you face difficulty using a wheel chair while moving from one place to another. *
How would you rate your experience using a wheelchair with respect to the following situations? *
Very bad
Bad
Neutral
Good
Very Good
Boarding a train/metro/bus
Accessing the products in a supermarket
Using the escalator
Using a Lift
How dependent are you on another person(caretaker/family member) for your daily activities? *
Least dependent
Highly dependent
Are you familiar with automation tools  as a concept ( bots, robotic machines , robotic devices to help lift/move/pick objects) ? *
Would you be open to automated tools being integrated into your wheel chair as a solution to some of your mobility related problems? *
If the answer to the above question is no, kindly provide the reason  using a few words.
Do you feel the introduction of automation tools would further decrease  your movement and make you less active? *
How concerned are you about your safety if automation were to form part of your wheel chair in assisting you in your day to day activities? *
Not so concerned
Highly concerned
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