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Cycling Survey
Please tell us some information about yourself so we can support you with cycling
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1.
Do you own a bike?
(Required.)
Yes
No
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2.
Can you ride a bike?
(Required.)
Yes
No
3.
How would you describe your cycling ability?
I cycle on roads confidently
I cycle on quiet roads where there is not much traffic
I can cycle along shared use paths and traffic free routes, but not on roads
I can ride a bike, but I'm not confident
I don't know how to ride a bike
4.
What are your goals? (select as many as you want)
Cycle to the shops / work / school
Cycle for leisure
Get to know my local area
Get out and about more
Improve my fitness
Improve my mental health
Meet new people
Other (please specify)
5.
What is your availability?
Tuesdays
Wednesdays
Thursdays
Saturdays
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6.
Please provide your contact details
(Required.)
Name
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ZIP/Postal Code
Email Address
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Phone Number
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7.
Is there anything else you want us to know?
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8.
Are you happy for us to contact you about cycling activities?
(Required.)
Yes
No