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| How frequently did you commute to work via a bicycle in the past year? |
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| What are some of the barriers to bicycling to work more frequently than you do now? (Please check all that apply) |
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| How important is it that your employer support your efforts to bike to work? |
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| What would motivate you to bike to work more frequently than you do now? (Please check all that apply) |
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| If you or anyone in your household owns a bicycle, what type of bicycles do you own? (Please check all that apply) |
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| If you ride a bicycle yourself, how often do you ride your bicycle a month other than commuting to work? |
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| If you ride a bicycle yourself, how many miles would you say you ride a bicycle a month other than commuting to work? |
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| Other than commuting to work, if you ride a bicycle yourself, where do you ride it? (Please check all that apply) |
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| If you or someone in your household owns at least one bicycle, how much would you say your household spent on bicycle repairs last year? |
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| If you or a member of your household owns a bicycle, which of the following repairs can you or they perform? (Please check all that apply) |
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| If you or someone in your household owns a bicycle, what would you say you spent on the purchase price of the most expensive one? |
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| If you or someone in your household intends to purchase another bicycle within the next year, how much do you intend to spend on it? |
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| Do you or someone in your household own an automobile roadside assistance program that tows your car, jumps your battery or opens your doors when you lock your keys inside? |
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| Do you think you or someone in your household would be willing to purchase a basic 24/7 bicycle roadside assistance service that picks you up twice a year and takes you home when your bicycle breaks down? |
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| What would you be willing to pay for a basic 24/7 bicycle roadside assistance service that would pick you up as often as twice a year if your bicycle broke down? |
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| What would you be willing to pay for a premium 24/7 bicycle roadside assistance service that would pick you up as often as five times a year if you broke down? |
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| Would you be more willing to pay for a 24/7 bicycle roadside assistance service if part of your monthly payment was a charitable contribution? |
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| If you don't think you would be willing to purchase a bicycle roadside assistance service, why not? |
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| What is your home Zip Code? | | |
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| What is your work Zip Code? | | |
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| How long have you lived in San Diego County? (years) | | |
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| Beginning with yourself, what are the ages of the people in your household? (Please separate ages with a comma.) | | |
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| Are you a female or male? |
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| Please make any comments you think would be helpful to the Bike Assist program. | | |
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| Would you like to be invited to our kickoff celebration? |
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| If you'd like to hear more about Bike Assist, please let us know your email address and we'll send you more information. Email Address: | | |
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