Survey

Please take a moment and complete this survey, it will help us better understand the cycling population in Kingston.

Do you bike ?



To Work
For Recreation
To School 		For Fitness & Exercise
To Shop
How many years have you been cycling?
How many months of the year do you cycle?
How many days of the week do you cycle?

How far would you cycle in the average week?

 (km)
Do you wear a helmet? always frequently occasionally never
What suggestions would you have for better cycling in Kingston? 1.
2.
3.
Would you like us to keep you informed of our activities? Yes No
Do you have e-mail ? Yes No
Would you like to be added to our e-mail mailing list? Yes No
If Yes, please provide us with your e-mail address:
Would you like to get involved with some of our activities? Yes No
Name:

Phone Number:

Occupation :

Age Range:

under 18
19-29
30-49
50-65
over 65

Sex

 Male Female


 


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