CharterAbility

A barrier-free, fully accessible Charter Boat Service for people of all ages with disabilities or mobility impairment.

Questionnaire Your input will help us develop an enjoyable and sustainable charter boat service for people of all ages with disabilities or mobility impairments. Just enter the information requested and click on "submit".
First name	*required
Last name	*required
e-Mail	*required

Gender	Male	Female

Age	Under 21	21 - 40	41 - 60	Over 60

Please check all that apply:
	I am a prospective passenger
	I am a prospective volunteer
	I am a person with a disability
	I am a family member of a PWD
	I am a friend of a PWD
	I am a caregiver for a PWD

The primary service offered will be leisure tours. The ideal duration of these tours would be:
	2 hours	3 hours	4 hours
What other types of trips would interest you? Please check all that apply:
	Fishing
	Bird watching
	Special Events (e.g.: fireworks displays, group trips)
Please enter your suggestions below:


The service will operate out of Port Credit. What other ports would be of interest to you? Please check all that apply:
	Toronto
	Hamilton
	Oakville
	Burlington
Please enter other ports below:


Which times would be best for you, your relative or friend to embark on a two-hour cruise? Please select at least two:
	Early morning: 8:00 am - 10:00 am
	Mid-morning: 10:00 am - 12:00 noon
	Mid-day: 12:00 noon - 2:00 pm
	Afternoon: 2:00 pm - 4:00 pm
	Early evening: 4:00 pm - 6:00 pm
	Evening: 6:00 pm - 8:00 pm
	Weekends only: times as above

Do you know someone who would be interested in this service? If so, please enter any that apply:
	Myself
	Relative	eMail address:
	Friend	eMail address:

What do you think a reasonable fee for a two-hour cruise would be?
	$20	$25	$30	$35

How did you hear about us?
	a family member
	a friend
	a caregiver
	an organization (please specify below)
	a website (please specify below)
	other (please specify below)


Thank you for taking the time to complete this questionnaire.


Copyright © 2004 CharterAbility. All rights reserved.

Questionnaire