Sustainable travel support services

Helping you find better ways of getting to work

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* 1. This information will be collected on behalf of Bristol City Council to help provide feedback on the service received and to show whether it has impacted on the way you travel. This information will be held by Bristol City Council and anonymised data is shared with the UWE to monitor the project. The Privacy Notice for this project can be found at: https://travelwest.info/pages/privacy-policy

In the process of following up on your experience and requesting feedback, we may send you a survey hosted by Survey Monkey around one month after you have received a service from us. Survey Monkey is a company based in the US and will hold some data there (although the Council will retain control over its erasure).

If you are happy for us to send you this follow up survey and that Survey Monkey hold this data in the US, please tick this box

Yes

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* 2. Which offers are you interested in?

Loan Bike - Hybrid (not electric)

Loan Bike - Folding (not electric)

Electric Loan Bike

Adult Cycle Training

Route Plan

Accompanied Bike Ride (only available in Bristol area)

Bus Tickets

Electric Vehicle 1:1 question and answer session with our Electric Vehicle expert

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* 3. If you are interested in a bike, please state your height in feet and inches (e.g. 5'10")

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* 4. What is the name of the organisation that you work for?

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* 5. First name

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* 6. Last Name

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* 7. Email

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* 8. Contact number

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* 9. Address Line 1

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* 10. Address Line 2

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* 11. City

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* 12. Post code

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* 13. Number of adults in the household (17+):

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* 14. Number of children in household

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* 15. Number of bikes in the household

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* 16. Number of cars in the household

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* 17. How many people hold a licence in your household

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* 18. On how many days do you work during a typical week?

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* 19. Last week, on how many of your working days did you travel to work using the following types of transport?

Walk

Cycle

Bus

Motorcycle or scooter

Train

Car driver (alone)

Car driver (with others)

Car passenger

Work at home

Other

More than one mode in one trip (please specify main mode e.g. "car")

More than one mode in one trip (please specify secondary mode e.g. "walk")

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* 20. How satisfied or dissatisfied are you with your journey to work on a typical day?

Very satisfied

Satisfied

Neither satisfied nor dissatisfied

Dissatisfied

Very dissatisfied

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* 21. Approximately how far is your journey to work from home?

Less than 2 miles

2 to 4 miles

5 to 9 miles

10 to 24 miles

25 to 50 miles

Over 50 miles

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* 22. Approximately how long have you worked at the same location?

Less than 6 months

6 months to 1 year

1 year to 2 years

2 years to 5 years

5 years or over

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* 23. Who is your local authority?

Bristol City Council

Bath & NE Somerset Council

South Gloucestershire Council

North Somerset Council

Sustainable travel support services

Helping you find better ways of getting to work

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* 2. Which offers are you interested in?

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* 3. If you are interested in a bike, please state your height in feet and inches (e.g. 5'10")

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* 4. What is the name of the organisation that you work for?

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* 5. First name

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* 6. Last Name

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* 7. Email

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* 8. Contact number

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* 9. Address Line 1

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* 10. Address Line 2

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* 11. City

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* 12. Post code

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* 13. Number of adults in the household (17+):

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* 14. Number of children in household

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* 15. Number of bikes in the household

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* 16. Number of cars in the household

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* 17. How many people hold a licence in your household

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* 18. On how many days do you work during a typical week?

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* 19. Last week, on how many of your working days did you travel to work using the following types of transport?

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* 20. How satisfied or dissatisfied are you with your journey to work on a typical day?

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* 21. Approximately how far is your journey to work from home?

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* 22. Approximately how long have you worked at the same location?

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* 23. Who is your local authority?

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* 24. For Cycle Training Only - Please provide an emergency contact name

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* 25. For Cycle Training Only - Please provide an emergency contact phone number