Pathway2Home Exit Survey

Thank you for having participated in Pedal4Life's Pathway2Home bicycle program. Please complete this survey to help us learn how you feel about the program.

Your feedback will help us to improve and to demonstrate results when applying for grants and resources to sustain Pedal4Life's mission.

PLEASE BE COMPLETELY HONEST! We need your help to improve the program and respect your opinions.

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* 1. Did you know how to ride a bicycle before you entered the Pathway2Home program?

Yes

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* 2. Did you attend the first session on July 11th that included the in-house presentations?

Yes

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* 3. How many weeks did you attend?

1 week

2 weeks

3 weeks

4 weeks

5 weeks

6 weeks

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* 4. To the best of your memory, how enthused were you about this program before it started?

Not enthused

Highly enthused

Not enthused

Highly enthused

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* 5. How strongly do you agree with this statement: "I don't like cycling and only participated because Banyan wanted me to try it.

Strongly Disagree

Neutral

Strongly Agree

Strongly Disagree

Neutral

Strongly Agree

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* 6. How strongly do you agree with this statement: "I enjoyed the program!"

Strongly Disagree

Neutral

Strongly Agree

Strongly Disagree

Neutral

Strongly Agree

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* 7. How strongly do you agree with this statement? When starting the program I was bothered by the "no-smoking" rule during the bike ride.

Strongly disagree

Neutral

Strongly agree

N/A - I don't smoke

Strongly disagree

Neutral

Strongly agree

N/A - I don't smoke

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* 8. How strongly do you agree with this statement? I am still bothered by the "no-smoking" rule during the bike ride.

Strongly disagree

Neutral

Strongly agree

N/A

Strongly disagree

Neutral

Strongly agree

N/A

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* 9. How strongly do you agree with this statement?: The "no smoking" rule increased my confidence that I can quit smoking if I put my mind to it.

Strongly disagree

Neutral

Strongly agree

N/A

Strongly disagree

Neutral

Strongly agree

N/A

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* 10. Are you glad you participated in the program?

Yes

Not sure

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* 11. How strongly do you agree with the following statement? I really liked the:

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
Lead instructor (Ira David)	Lead instructor (Ira David) Strongly Disagree	Lead instructor (Ira David) Disagree	Lead instructor (Ira David) Neutral	Lead instructor (Ira David) Agree	Lead instructor (Ira David) Strongly Agree
Additional ride leaders	Additional ride leaders Strongly Disagree	Additional ride leaders Disagree	Additional ride leaders Neutral	Additional ride leaders Agree	Additional ride leaders Strongly Agree
Overall route	Overall route Strongly Disagree	Overall route Disagree	Overall route Neutral	Overall route Agree	Overall route Strongly Agree
Pace of each ride	Pace of each ride Strongly Disagree	Pace of each ride Disagree	Pace of each ride Neutral	Pace of each ride Agree	Pace of each ride Strongly Agree
Ride distance	Ride distance Strongly Disagree	Ride distance Disagree	Ride distance Neutral	Ride distance Agree	Ride distance Strongly Agree
Quality of my bicycle	Quality of my bicycle Strongly Disagree	Quality of my bicycle Disagree	Quality of my bicycle Neutral	Quality of my bicycle Agree	Quality of my bicycle Strongly Agree
Post-ride dinner	Post-ride dinner Strongly Disagree	Post-ride dinner Disagree	Post-ride dinner Neutral	Post-ride dinner Agree	Post-ride dinner Strongly Agree

Please feel free to add comments to support your responses above.

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* 12. Based on your memory of the day, how strongly do you agree with the following statements about the Day 1.

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	N/A - I did not attend Day 1 on July 1st
Lead instructor's (Ira David) talk	Lead instructor's (Ira David) talk Strongly Disagree	Lead instructor's (Ira David) talk Disagree	Lead instructor's (Ira David) talk Neutral	Lead instructor's (Ira David) talk Agree	Lead instructor's (Ira David) talk Strongly Agree	Lead instructor's (Ira David) talk N/A - I did not attend Day 1 on July 1st
I was not sure what to expect at first	I was not sure what to expect at first Strongly Disagree	I was not sure what to expect at first Disagree	I was not sure what to expect at first Neutral	I was not sure what to expect at first Agree	I was not sure what to expect at first Strongly Agree	I was not sure what to expect at first N/A - I did not attend Day 1 on July 1st
Ira David made me feel comfortable	Ira David made me feel comfortable Strongly Disagree	Ira David made me feel comfortable Disagree	Ira David made me feel comfortable Neutral	Ira David made me feel comfortable Agree	Ira David made me feel comfortable Strongly Agree	Ira David made me feel comfortable N/A - I did not attend Day 1 on July 1st
Ira David created a safe environment	Ira David created a safe environment Strongly Disagree	Ira David created a safe environment Disagree	Ira David created a safe environment Neutral	Ira David created a safe environment Agree	Ira David created a safe environment Strongly Agree	Ira David created a safe environment N/A - I did not attend Day 1 on July 1st
Mark, the mechanic, was knowledgeable about the bikes	Mark, the mechanic, was knowledgeable about the bikes Strongly Disagree	Mark, the mechanic, was knowledgeable about the bikes Disagree	Mark, the mechanic, was knowledgeable about the bikes Neutral	Mark, the mechanic, was knowledgeable about the bikes Agree	Mark, the mechanic, was knowledgeable about the bikes Strongly Agree	Mark, the mechanic, was knowledgeable about the bikes N/A - I did not attend Day 1 on July 1st
Mark, the mechanic was personable and helpful	Mark, the mechanic was personable and helpful Strongly Disagree	Mark, the mechanic was personable and helpful Disagree	Mark, the mechanic was personable and helpful Neutral	Mark, the mechanic was personable and helpful Agree	Mark, the mechanic was personable and helpful Strongly Agree	Mark, the mechanic was personable and helpful N/A - I did not attend Day 1 on July 1st
The other ride leaders were helpful and comforting	The other ride leaders were helpful and comforting Strongly Disagree	The other ride leaders were helpful and comforting Disagree	The other ride leaders were helpful and comforting Neutral	The other ride leaders were helpful and comforting Agree	The other ride leaders were helpful and comforting Strongly Agree	The other ride leaders were helpful and comforting N/A - I did not attend Day 1 on July 1st
The pre-ride snacks were plentiful	The pre-ride snacks were plentiful Strongly Disagree	The pre-ride snacks were plentiful Disagree	The pre-ride snacks were plentiful Neutral	The pre-ride snacks were plentiful Agree	The pre-ride snacks were plentiful Strongly Agree	The pre-ride snacks were plentiful N/A - I did not attend Day 1 on July 1st
Pedal4Life was organized	Pedal4Life was organized Strongly Disagree	Pedal4Life was organized Disagree	Pedal4Life was organized Neutral	Pedal4Life was organized Agree	Pedal4Life was organized Strongly Agree	Pedal4Life was organized N/A - I did not attend Day 1 on July 1st
The meeting place was comfortable	The meeting place was comfortable Strongly Disagree	The meeting place was comfortable Disagree	The meeting place was comfortable Neutral	The meeting place was comfortable Agree	The meeting place was comfortable Strongly Agree	The meeting place was comfortable N/A - I did not attend Day 1 on July 1st
The bikes were in excellent condition	The bikes were in excellent condition Strongly Disagree	The bikes were in excellent condition Disagree	The bikes were in excellent condition Neutral	The bikes were in excellent condition Agree	The bikes were in excellent condition Strongly Agree	The bikes were in excellent condition N/A - I did not attend Day 1 on July 1st

Please feel free to add comments to support your responses above.

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* 13. How strongly do you agree with the following statements?

	Strongly disagree		Still feeling things out		Strongly agree
I plan to continue bicycling	I plan to continue bicycling Strongly disagree	I plan to continue bicycling	I plan to continue bicycling Still feeling things out	I plan to continue bicycling	I plan to continue bicycling Strongly agree
I plan to continue riding with others from this program	I plan to continue riding with others from this program Strongly disagree	I plan to continue riding with others from this program	I plan to continue riding with others from this program Still feeling things out	I plan to continue riding with others from this program	I plan to continue riding with others from this program Strongly agree
I plan to ride with another group	I plan to ride with another group Strongly disagree	I plan to ride with another group	I plan to ride with another group Still feeling things out	I plan to ride with another group	I plan to ride with another group Strongly agree
I plan to join a local riding group	I plan to join a local riding group Strongly disagree	I plan to join a local riding group	I plan to join a local riding group Still feeling things out	I plan to join a local riding group	I plan to join a local riding group Strongly agree
I hope to now ride with family members	I hope to now ride with family members Strongly disagree	I hope to now ride with family members	I hope to now ride with family members Still feeling things out	I hope to now ride with family members	I hope to now ride with family members Strongly agree
I feel sufficiently comfortable to ride solo	I feel sufficiently comfortable to ride solo Strongly disagree	I feel sufficiently comfortable to ride solo	I feel sufficiently comfortable to ride solo Still feeling things out	I feel sufficiently comfortable to ride solo	I feel sufficiently comfortable to ride solo Strongly agree

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* 14. Did you learn any of the following? Choose all that apply:

How to ride safely in a group

How to ride safely on a road with vehicles

Correct hand signals

Bicycling etiquette

How to fix a flat tire

Importance of hydration

Rules of the road

How to switch lanes safely

How to obey red lights

The importance of post-ride nutrition

The importance of wearing a helmet

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* 15. Aside from cycling, what other skills or attributes did you learn or use during the program? Choose all that apply:

Healthy behavior

Interpersonal skills

Verbal communication skills

Planning skills

Compassion/empathy

Listening skills

Focusing Attention

Looking out for others

Helping others

The benefit of being part of a "community"

Acceptance of others

Feel free to add additional comments to supplement your answer choices above.

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* 16. Would you recommend this program?

Yes

Maybe

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* 17. Would you be willing to endorse the program in writing?

Yes

If yes, please write an endorsement of this program.

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* 1. Did you know how to ride a bicycle before you entered the Pathway2Home program?

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* 2. Did you attend the first session on July 11th that included the in-house presentations?

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* 3. How many weeks did you attend?

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* 4. To the best of your memory, how enthused were you about this program before it started?

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* 5. How strongly do you agree with this statement: "I don't like cycling and only participated because Banyan wanted me to try it.

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* 6. How strongly do you agree with this statement: "I enjoyed the program!"

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* 7. How strongly do you agree with this statement? When starting the program I was bothered by the "no-smoking" rule during the bike ride.

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* 8. How strongly do you agree with this statement? I am still bothered by the "no-smoking" rule during the bike ride.

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* 9. How strongly do you agree with this statement?: The "no smoking" rule increased my confidence that I can quit smoking if I put my mind to it.

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* 10. Are you glad you participated in the program?

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* 11. How strongly do you agree with the following statement? I really liked the:

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* 12. Based on your memory of the day, how strongly do you agree with the following statements about the Day 1.

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* 13. How strongly do you agree with the following statements?

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* 14. Did you learn any of the following? Choose all that apply:

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* 15. Aside from cycling, what other skills or attributes did you learn or use during the program? Choose all that apply:

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* 16. Would you recommend this program?

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* 17. Would you be willing to endorse the program in writing?

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* 18. Please write any additional comments in the box below.