| First Name* |
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| Surname* |
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Date of Birth
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| Gender* |
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| Email address* |
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| Confirm email * |
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| Employment Status* |
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| Name of employer / place of study |
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| How far do you travel to your main place of work / study?* |
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| What is your predominant mode of transport to your main place of work / study?* |
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| Are you a*: |
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| Are you a*: |
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What puts you off most about cycling to work / college / university?
By completing this information you will help us gain a better understanding of the barriers preventing you from travelling by bike. This will allow us to provide you with the most relevant and useful hints, tips and advice. |
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| I'm unsure about what equipment I'll need |
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| I don't know what to wear |
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| I don't feel confident enough |
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| I don't feel fit enough |
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| I'm worried about traffic |
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| I'm worried about not looking smart when I arrive |
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| I don't have a bike |
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| I don't know where to find cycle routes |
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| There are too many hills |
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| The weather is too unpredictable |
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| There are no proper washing facilities in work |
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| There are insufficient locker and storage facilities |
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| I just don't fancy the thought of cycling |
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| Car essential to performing job |
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| Health reasons |
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What puts you off most about walking to work / college / university?
By completing this information you will help us gain a better understanding of the barriers preventing you from travelling on foot. This will allow us to provide you with the most relevant and useful hints, tips and advice. |
| I'm unsure about what equipment I'll need |
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| I don't know what to wear |
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| I'm worried about not looking smart when I arrive |
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| There are too many hills |
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| I don't think I'm fit enough |
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| The weather is too unpredictable |
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| It is too far |
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| I'm worried about my personal safety |
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| I don't know how to carry all my equipment |
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| I don't have time |
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| I just don't fancy the thought of walking |
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| Car essential for work |
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| There are no proper washing facilities in work |
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