Bikeability

First Name

Last Name

Email

Age

Male Female

Child Parent/Guardian Other

Do you think it's a good idea and a necessity for today's children? Yes No Not Sure

If your child/children have completed their Bikeability, how do you feel about them riding on the roads? More confident No real change Less confident Don't know

How did you find out about Bikeability? On the web In a newspaper On the radio Through school Through a local authority

Would you like to receive emails updating you on the latest Bikeability news? Yes No

Any further comments?