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* 1. This survey will be used for 2022 Go Coast Bike Month. This registration will require information like your name, email address, and more. Do you wish to continue?

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* 2. What is your first and last name? You may use an initial. Example: John D.

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* 3. What is your email address? This must be an active email that we will use to communicate with you during Bike Month this May.

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* 4. Do you plan to bike to and from work or school during Bike Month? If so, please name your school or place of employment. If not applicable, please skip.

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* 5. How did you hear about Bike Month?

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