Feedback - Social Cycling Dr Bike Name(Required) Email Address(Required) Which session did you attend?(Required) Please select: All Ability Adult Cycle Training Cargo Training City and Guilds Dr Bike E-scooter Family Cycle Training Group Cycle Training Holiday course (Bikeability) Lead Ride Maintenance Course Ride Leader Training Side-by-Side Cycle Taxi Team Building School Cycle Training Webinar Date and Location of Session attended(Required) How satisfied were you with the service?(Required) Very Satisfied Quite Satisfied Neither Satisfied nor Dissatisfied Quite Dissatisfied Very Dissatisfied Please provide further details How much are you cycling now compared to before the session? More Same Less Would you recommend the service to a friend?(Required) Definitely Probably Probably Not Definitely Not Name of your instructor or tutor(Required) Please use the box below to provide any more feedback Demographic InformationThis does not affect your feedback and is anonymised and used for monitoring purposes only. Please answer to the best of your knowledge or select “Prefer not to say”.Date of Birth(Required) DD slash MM slash YYYY Gender(Required)-- Please select --Non-binaryFemaleMaleOtherPrefer not to sayEthnicity(Required)-- Please select --White: BritishWhite: IrishWhite: Any Other White BackgroundMixed Race: White & Black CaribbeanMixed Race: White & Black AfricanMixed Race: White & AsianMixed Race: Any Other Mixed BackgroundAsian/Asian British: IndianAsian/Asian British: PakistaniAsian/Asian British: BangladeshiAsian/Asian British: Any Other Asian BackgroundBlack/Black British: CaribbeanBlack/Black British: AfricanBlack/Black British: Any Other Black BackgroundChineseAny Other Ethnic GroupPrefer Not to SayDo you consider yourself to have a disability?(Required)-- Please select --NoBlind/Visual imparementDeaf/Hearing imparementLong term health conditionMental health difficultyMobility imparementMultiple DisabilitiesNeuro-diversity (e.g. ADHD, Autism)Neurological condition (Alzheimer's, Epilepsy)What is your employment status?(Required)-- Please select --EmployedEmployed - low wageUnemployedPrefer not to sayWhat is your Postcode?(Required) Δ
