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* 1. Name

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* 2. Email

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* 3. How many trips did you take on your bike this week? (A trip to and from the grocery store would be TWO trips)

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* 4. How many miles did you ride on your bike this week?

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* 5. Of all your trips this week, how many were a commute for work, school, errand, or lifestyle (to the gym, a friend's house, an appointment, etc.)?

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* 6. Of all your trips this week, how many were for exercise or leisure?

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* 7. What roads or paths did you use most often?

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* 8. If you rode to work or school, please list your school name or employer

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