Bicycle usage survey
English
1
Do you have a bicycle?
Yes
No
No, but I plan to buy one
2
Where do you go on bicycle?
To work
To school
On shopping
Recreation
Other
please describe
3
How often do you ride on bike?
Every day
Several times a week
Several times a month
Several times a year
I don't ride a bike
4
Main barriers to use a bike
No bike lanes
No bike parking space
To heavy traffic
Risk of theft
Other
please describe
5
Gender
Male
Female
6
Age
Under 18
19 - 25
26 - 39
40 - 64
Above 65
Finish
