Source BMX Survey
1. Personal Details
6%
Your Personal Details
*
1
. Name
Name
First Name
Surname
*
2
. Email Address (Please supply so we can contact you if you win the prize)
Email Address (Please supply so we can contact you if you win the prize)
3
. Phone Number (Optional - we will use this to contact you if you win)
Phone Number (Optional - we will use this to contact you if you win)
*
4
. What Shoe Size (UK) are you? (so we know what to send In case you win)
What Shoe Size (UK) are you? (so we know what to send In case you win)
5
6
7
8
9
10
11
12
13
14
*
5
. Age
Age
12 or younger
13-14
15-17
18-20
21-24
25-29
30-34
35+
*
6
. What is your present state of Employment?
What is your present state of Employment?
In Full time Education
Full-time employed
Part-time employed
Unemployed
*
7
. Who Usually Pays for your BMX Purchases?
Who Usually Pays for your BMX Purchases?
Myself
Parent / Family Member
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