1.Contact Name

2.Business Name (if different from above)

3.Business Address

4.Primary Phone Number

5.Email Address

6.How many employees do you have?

7.How many full time equivalent positions?

8.How many years as the business been in operation?

9.Type of business? (Select one)

 Retail

 Manufacturing

 Restaurant

 Service provider

 Non-profit organization

Other (please specify)

10.Do you offer secure, dedicated bike parking for guests/customers? (Select one)

 Yes

 No (If no, hit next at the bottom of the page to proceed to question 14)

11.Describe the dedicated bike parking. (Check all that apply)

 Outdoor racks

 Indoor racks or designated bike storage room

 Secured area | e.g. keycard access, video monitored, etc.

 Bicycle lockers

 Covered/sheltered outdoor bike racks

 Uncovered outdoor bike rack

 Bikes are also allowed inside business common area

 Specialty bikes accommodated | e.g. cargo bikes, trailers, recumbents, trikes etc.

 Charging facilities for electric assist bicycles

None of the above

12.Approximately how many bicycles can be accommodated by the dedicated bike parking? (Select one)

 1-5

 6-10

 11 or more

13.Does the majority (more than 50%) of the bike parking meet the following standards for quality, security, and convenience? (Check all that apply)

 Supports the bicycle in at least two places to prevent it from falling over

 Allows locking of frame and at least one wheel with a U-lock

 Is securely anchored to the ground or wall

 Resists cutting, rusting, bending, or deformation

 Is visible from main entrance of business

 Is well-lit at night

None of the above