Mahattan Pedestrian-Bike Collisions: Report Your Incident to the Paper

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* 1. Have you been hit by a bike while in Manhattan?

Yes

No

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* 2. When you were hit, where were you?

On the sidewalk

In the crosswalk

In the street

In a bike lane

Other (please specify)

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* 3. Where did this happen? Provide cross-streets/approximate location

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* 4. When did the incident occur?

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* 5. What kind of bike hit you?

E-Bike

Pedal Bike

Other (please specify)

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* 6. Who did you report the accident to?

911

Local police precinct

Other (please specify)

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* 7. Which, if any, first responders reported to the accident?

Ambulance

Police

None responded, though I did call

I did not call any first responders

Other (please specify)

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* 8. Did you seek medical attention?

Yes

No

If yes, please explain:

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* 9. Optional: How did this affect you?

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* 10. Please share your contact information with the paper:

Name

Email Address

Phone Number