Online Panel Sign up Form

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Thankyou for signing up to our online panel. We will contact you when we we have consultations that need your opinion! By signing up to this panel you are agreeing to Traveline Cymru retaining your information for the purposes of the Online Customer Panel only. Your information will not be shared with any third parties.

Full name

What age range do you fall into?

Under 18

18-24

25-34

35-44

45-54

55-64

65 and over

Clear selection

What region of Wales do you currently live in?

Anglesey

Bridgend

Cardiff

Carmarthenshire

Ceredigion

Conwy

Denbighshire

Flintshire

Gwynedd

Monmouthshire

Pembrokeshire

Powys

Rhondda Cynon Taf

Swansea

Wrexham

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What is your current employment status?

Full time

Part time

Freelance/self-employed

Student

Retired

Unemployed

Other

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Do you consider yourself to have a disability?

Yes

Prefer not to say

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Do you have any dependents in your household that you travel with?

Yes

Prefer not to say

Clear selection

Submit

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