2021 Bike Month Survey

Thank you for taking the time to fill our this survey, fill out your information below to have your name to be entered into a random drawing for a $25 or 1 of two $10 Walmart gift cards. Only 1 winner per household. We will not share, sell or use your information for any other purposes.

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* 1. What County do you live in?

Fauquier

Culpeper

Other

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* 2. What method of transportation do you use to go to work?

Personal Car

Public Transportation

Walk

Bicycle

Any combination

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* 3. How long is your one-way commute to work?

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* 4. Have your ever ridden a bicycle to work?

Yes

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* 5. If yes, how often do you ride your bicycle?

Every day

About once a week

Twice a week

A few times a month

Do not ride my bicycle to work

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* 6. What obstacles or barriers prevent you from using your bicycle for transportation to work?

No safe bicycle lanes or road conditions

No place to park my bicycle

I don't feel safe or I am concerned for my safety

Depends on the weather

Type of employment or job

Medical Reasons

Distance to Work

Have children

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* 7. What would encourage or enable you to ride a bicycle to work?

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* 8. Rate the importance of each:

	Not Important	Somewhat Important	Important	Very Important	N/A
Adding safe shoulders/wider outside lanes on roads	Adding safe shoulders/wider outside lanes on roads Not Important	Adding safe shoulders/wider outside lanes on roads Somewhat Important	Adding safe shoulders/wider outside lanes on roads Important	Adding safe shoulders/wider outside lanes on roads Very Important	Adding safe shoulders/wider outside lanes on roads N/A
Striped bicycle lanes on streets	Striped bicycle lanes on streets Not Important	Striped bicycle lanes on streets Somewhat Important	Striped bicycle lanes on streets Important	Striped bicycle lanes on streets Very Important	Striped bicycle lanes on streets N/A
Multi-use paths(bicycling, walking, running, etc.)	Multi-use paths(bicycling, walking, running, etc.) Not Important	Multi-use paths(bicycling, walking, running, etc.) Somewhat Important	Multi-use paths(bicycling, walking, running, etc.) Important	Multi-use paths(bicycling, walking, running, etc.) Very Important	Multi-use paths(bicycling, walking, running, etc.) N/A
Bicycle Awareness/Education	Bicycle Awareness/Education Not Important	Bicycle Awareness/Education Somewhat Important	Bicycle Awareness/Education Important	Bicycle Awareness/Education Very Important	Bicycle Awareness/Education N/A
Having a "bicycle buddy" to ride with	Having a "bicycle buddy" to ride with Not Important	Having a "bicycle buddy" to ride with Somewhat Important	Having a "bicycle buddy" to ride with Important	Having a "bicycle buddy" to ride with Very Important	Having a "bicycle buddy" to ride with N/A
Showers at the worksite(ability to freshen up?)	Showers at the worksite(ability to freshen up?) Not Important	Showers at the worksite(ability to freshen up?) Somewhat Important	Showers at the worksite(ability to freshen up?) Important	Showers at the worksite(ability to freshen up?) Very Important	Showers at the worksite(ability to freshen up?) N/A
Safe place to secure my bicycle and gear	Safe place to secure my bicycle and gear Not Important	Safe place to secure my bicycle and gear Somewhat Important	Safe place to secure my bicycle and gear Important	Safe place to secure my bicycle and gear Very Important	Safe place to secure my bicycle and gear N/A

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* 9. Have you heard of our Commuter Services program at the Rappahannock Rapidan Regional Commission>

Yes

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* 10. Would you like to receive information or be contacted by Commuter Services staff regarding other commuting options?

Yes

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* 11. Thank you for taking the time to fill our this survey, remember to fill out your information below to have your name entered into a random drawing 1 of 3 Walmart gift cards. Only 1 winner per household. We will not share, sell or use your information for any other purposes unless you have requested to be contacted by Commuter Services staff in question 10.

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number