Travellers Testimony Online Form

AIR PASSENGERS WITH SPECIFIC REQUIREMENTS IN INDIA

We need to know exactly whats on your mind: the good things, and the bad memories... Refused travel unless accompanied by a carer? Wheelchair broken due to negligent handling? Restrictive airline policies on assistive aids? Frustration because airline /airport staff couldn't or were unwilling to resolve a problem? Felt humiliated or embarrassed by inadequate communication ...or impressed by an outstanding response to a special request?

Whether you're passenger, attendant, family member, observer, bystander, stakeholder, disabled, senior citizen or witness - this is for you to fill if you'd like to share your air travel story - where requiring something specific or out of the ordinary had unexpected consequences. These experiences could be positive, but we're guessing mostly negative with recent travel controversies ;-) We welcome your feedback as this would bring about greater visibility of what is a daily occurrence to many of us. Your inputs and opinions will also be collated so as to measure policies against the facilities and services provided; and submitted to the concerned authorities. PLEASE ENTER 1 FLIGHT PER FORM! Yes, entering multiple offences may be painful - but this form will be LIVE in future as well so log experiences whenever you can! Only the starred questions are mandatory - so this shouldnt take much time to fill. Of course the more information you fill, the more useful data that's available in the public domain. Also the sooner you complete the form, the better your chances of redressal...so please hurry and find the time! All data will be collected on this online, open-access spreadsheet- http://tinyurl.com/jetsetters THERE ARE 8 DIFFERENT SECTIONS - CLICK CONTINUE AT THE END OF EACH ON THE WEB FORM ================================================================================================================================

Is this your personal experience?

Yes, this is First Hand Information (I was the passenger concerned) No. This is Second Hand Information (I was a co-passenger) No. This is Third Hand Information (I was a witness)

Full Name

Fill ANON if you wish to remain anonymous and don't want to be contacted for policy clarifications

Age (as on date) Enter years in number format

Gender

Email Id (Personal Preferred)

Mobile Number If Any

Permanent Residential Location (City / Town / Village)

Link to additional Documentation / Enclosures

Media Links (if any)

PASSENGER INFO

Name (If 1st hand experience please enter: SAME AS ABOVE / If 3rd please enter: UNKNOWN) Age (If 1st hand experience please enter: SAME AS ABOVE I If 3rd party please enter: UNKNOWN)

Gender If this is first hand experience please enter: SAME AS ABOVE

Type of difficulty / disability (if any)

Check whichever options apply. Multiple clicks ok. Mobility Hearing Speech Cognition Psychosocial Hidden/ Invisible None / Not Applicable Other:

EXPERIENCE
How would you describe the special accommodation / service needed?

Sorry:-( This is complicated but codes followed by airlines globally. 1st half is wheelchair / vision specific. Choose only one!

(WCOB) Onboard wheelchair assistance required (NWCC) Passenger who requires the use of an airport wheelchair: and to be pushed through the airport terminal to the steps of the aircraft and also requires lift on / lift off assistance onto and off the aircraft. (NWCP) Passenger who requires the use of an airport wheelchair only: but does not require to be pushed by airport staff

(NWCS) Passenger not traveling in a wheelchair: that requires no assistance through the airport to the aircraft but does require lift on /lift off assistance onto the aircraft. (WCHR) Passenger travelling in their own wheelchair: that only requires to be pushed through the airport terminal to aircraft steps. The passenger can walk short distances and ascend short flights of stairs. A wheelchair is only needed for longer distances. (WCHC) Passenger travelling in their own wheelchair: that requires to be pushed through the airport terminal to aircraft steps and also require lift on! lift off assistance onto the aircraft. The passenger cannot walk or ascend steps. A wheelchair is needed at all times. (WCHS) Passenger travelling in their own wheelchair: that does not require to be pushed through the airport terminal to the aircraft steps, but does require lift on/lift off assistance onto and off the aircraft. The passenger is unable to ascend steps but can walk short distances. (WCHP) Passenger travelling in their own wheelchair: that requires no assistance at all from airport staff. (NWCR) Passenger who requires the use of an airport wheelchair: and to be pushed through the airport terminal to the steps of the aircraft. (DEAF) Deaf passenger / hearing impaired (DEAF/BLND) Deaf-blind passenger (BLDR) Blind or vision impaired passenger travelling alone without a sighted companion: that requires a walker to and from the terminal to the aircraft. (BDGR) Blind or vision impaired passenger travelling with a guide dog and requires a walker to and from the terminal to the aircraft. (BLDP) Blind or vision impaired passenger travelling alone without a sighted companion and requires no assistance. (BDGP) Blind or vision impaired passenger travelling with a guide dog and requires no assistance. (BLSC) Blind or vision impaired passenger travelling with a sighted companion and requires no assistance. (DPNA) Passenger with intellectual or developmental disability needing assistance. It includes the passengers who suffer, for example, from Alzheimers disease, Autism or Down's syndrome. (DMAA) Passenger with an intellectual disability who is able to understand and respond appropriately to safety instructions and does not require a Personal Care Attendant, but does require a walker to and from the terminal to the aircraft. (STCR) Passenger who can only be transported on a stretcher in lying position; such passenger is transported to or from an aircraft in an ambulance. and has to book 6 seats (PREG) Pregnant (MEDA) Leg in Cast, Requiring Oxygen Etc (LANG) Language assistance required (MAAS) Meet and Assist Service (UADT) Other Adult assistance service required (OTHS) Other service required not covered by other SSRs

Elaborate what specific accommodations I requirements you may have if not covered adequately above (For Eg : Speech Impairment, Help carrying baggage, Psychosocial Issues, Allergies, Issues related to Epilepsy, stroke, balance, implant etc) or just YOUR requirements in YOUR own words!

How would you describe assistive aids / prosthetics / appliances etc you fly with?

Crutches Walking Stick / Walker Callipers / Orthotic aid / Prosthesis / Bionics (WCMP) Wheelchair manually powered (WCBW) Wheelchair with wet battery (WCBD) Wheelchair with dry battery Brace / Support / Restraint Approved Portable Oxygen Concentrate Device Communication Dev ice / Board Catheter / Medicine Dispensing device Service / Support Animal Other None of the above

When was specific requirement declared by passenger? From Booking to 48 hours before travel Between 24-48 hours before travel Less than 24 hours before travel

Description of incident (In Brief)

Would you like any particular action taken towards this specific incident? If so what?

Was additional documentation being carried by passenger? Mark whichever options apply (multiple marks ok) Yes, DisabilityCertificate Yes, Medical Certificate Yes, Civil Aviation Rules pertaining to disability No, None of the above

Other:

Restrictions / Problems faced Check whichever options apply. (Multiple checks ok) insisted on Indemnity Form (SELF) insisted on Indemnity Form (ASSISTIVE AID) insisted on Disability Certificate insisted on Attendant Traveller Declared not Fit To Travel Refused Check-in Refused cabin carriage of assistive aid Refused Boarding Intrusive security screening Poor handling - self Poor handling - assistive aid Refused cabin carriage of assistive aid Humiliating treatment Delay Non-availability of boarding wheelchair Non-availability of ambulift / aerobridge / ramp Non-availability of aisle chair Toilet Accessibility Issues Refused baggage tag for wheelchair/assistive aid stored in hold Restricted seat allocation to back row I near bathroom etc without passenger request or consent Poor / Misleading / Inaccessible Information Media Untrained / Unaware Staff Too many / improper / unsafe wheelchair transfer(s) Other:

Feedback on Restrictions I Problems

Pleasant Surprise / Something unexpectedly nice about service Check whichever options apply. (Multiple checks ok)

Priority Boarding Offered Priority / Upgraded Seating Offered Staff going beyond the call of duty Accessible Information / Communication Media Design Innovations Other:

Feedback on Pleasant Surprise / something unexpectedly nice about service Specify the good experiences in brief

Feedback on Stage Of Travel - at which points did you experience barriers / discomfort / difficulty? Check whichever boxes apply (multiple checks ok) Booking Airport Arrival Check-In Security Departure Area Boarding Counter Boarding transit Embarking Lifting & Transferring to seat Seating Cabin Baggage Baggage Meal Toilet Information / Entertainment / Safety Communication Disembarking Baggage Carousel Connecting flight Airport departure

Delay/Cancellation /Baggage Loss Other:

Suggestions (if any) Please prefix stage level before recommendation

If Civil Aviation Rules were quoted by passenger were the authorities aware of the same? Enter Yes / No / Not Applicable / Other

* *

Have you lodged a complaint with the company / airport authorities concerned? lf so, further information can be entered in ADDITIONAL DETAILS section Enter Yes / No / Not Applicable / Other

Have you lodged a complaint with any grievance redressal forum like Disability Commissioner's Office / Consumer Forum? lf so, further information can be entered in ADDITIONAL DETAILS section Enter Yes / No / Not Applicable / Other

FLIGHT INFO
Flight Code

Airline

* *

From (Departure Airport)

To (Arrival Airport)

ADDITIONAL DETAILS (if any)

AIRPORT AUTHORITY COMMUNICATION : Complaint / Suggestion / Grievance DETAILS If you've officially registered a com plaint with airport authorities give details / status here

AIRLINE COMMUNICATION : Complaint / Suggestion / Grievance DETAILS If you've officially registered a complaint with airport authorities give details / status here AIRPORT AUTHORITY COMMUNICATION : Complaint / Suggestion / Grievance DETAILS If you've officially registered a com plaint with airport authorities give details / status here

AIRPORT AUTHORITY COMMUNICATION : Complaint / Suggestion / Grievance DETAILS If you've officially registered a com plaint with airport authorities give details / status here DISABILITY COMMISSIONER! CONSUMER FORUM COMMUNICATION : Complaint / Suggestion / Grievance DETAILS If you've officially registered a complaint with Disability Commissioner/Consumer Forum give details & status here

FEEDBACK INFO
Feedback Re DEPARTURE Airport Accessibility Boarding Ramp / Ambulift / Aerobridge / Accessible Toilet / Relay Communication /Accessible facilities and services / Other accommodations

Feedback Re ARRIVAL Airport Accessiblity Boarding Ramp / Ambulift / Aerobridge / Accessible Toilet / Relay Communication /Accessible facilities and services / Other accommodations

General Feedback Re Airline Accessiblity WCAG-compliant website / SSR request booking facility / Pre-Boarding / Seat Selection / Transit vehicle accessibility! (Different airlines have specific requirements for wheelchair dimensions, size, weight etc)

Feedback Re Mobility / Assistive Aids used by Airline Quality / Maintenance / Numbers - Availability

RATINGS: Scale of 1 (Pathetic) to 5 (Pretty Good)

How would you rate departure airport accessibility? How would you rate arrival airport accessibility? How would you rate airline accommodation for specific requirements and overall experience?

DECLARATION

I understand that filling this form indicates my willingness to share this information for other passengers benefit and that I may be contacted for any resolution I policy recommendations.

Please check the box to complete the form