Transport questionnaire

To complete your application for home to school transport we need you to complete this form. We cannot accept responsibility for transporting your child without this information.

Any relevant information will be made available to the transport provider. You should tell us any information that could affect the health and safety of your child or others around them. It is your responsibility to keep us updated of any changes to your child’s needs.

Find out how we will use your data in our privacy notice.

Before you start

The questionnaire contains 6 sections. It should take 20 minutes to complete. Before starting the questionnaire please make sure you have the below information available.

  • Protocols
  • Medical Information
  • Wheelchair - owner’s manual

Please answer every question on this form, if a question is not relevant, please mark your response as N/A (not applicable).

Child's details

Please give a rough height in centimetres
Please give a rough weight in kilograms

Your details

Please provide your details as the person completing this form. We may need to contact you if we have any follow up questions on anything you have put on the form.

Medical information

Do they have an insulin pump? What times of the day does your child routinely check their blood glucose level?
Alternatively, you can email it to sen.transport@eastsussex.gov.uk
How severe is the asthma and what triggers it? Do they use or carry an inhaler?
Alternatively, you can email it to sen.transport@eastsussex.gov.uk
For example, when does the child’s gastrostomy tube require changing?
Alternatively, you can email it to sen.transport@eastsussex.gov.uk
What type of seizures and visual signs to note prior to a seizure, frequency of seizures and when did the last one occur.
Alternatively, you can email it to sen.transport@eastsussex.gov.uk
Do they carry an epinephrine autoinjector (EpiPen)?
Alternatively, you can email it to sen.transport@eastsussex.gov.uk


Is this medication handed to the school or kept with them? How is it carried? In a clear, labelled bag or named container?

Physical disabilities










Please refer to the wheelchair or buggy owner's manual for these questions.

Behaviours













Communication






Can they have a two-way conversation and are they interested in what you are saying?











Further information