Bike Buddy Survey Question Title * 1. Date Date / Time Date Question Title * 2. Are you interested in being a Mentor or Mentee Bike Buddy? Mentor Mentee Question Title * 3. If you are a Mentor, are you a member of Bicycle NSW? Yes No Question Title * 4. Name Question Title * 5. Year of Birth Question Title * 6. Preferred Pronoun She They Other/ Prefer not to state Question Title * 7. Suburb Question Title * 8. Email address Question Title * 9. Mobile number Question Title * 10. If you are a Mentee, please answer: How confident do you feel riding in your own neighbourhood? 1 = Not confident; 10 = Very confident. 0 10 Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 11. If you are a Mentee, please answer: How safe do you feel riding in your own neighbourhood? 1 = Not safe; 10 = Very safe. 0 10 Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 12. If you are a Mentee, please answer: How often do you ride your bike in your own neighbourhood? 1 = Not often; 10 = Very often. 0 10 Clear i We adjusted the number you entered based on the slider’s scale. Done