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1. About you

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2. Number of adults who will receive training

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3. Number of children who will receive training

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4. Ages of children, e.g. 4, 5 & 7

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5. What would be your preferred choice of venue for training? Please tick all that apply.

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6. What would be your preferred day of the week for training? Please tick all that apply.

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7. What would be your preferred choice of time for training? Please tick all that apply.

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8. How often do you cycle together as a family group?

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9. Have any children in the household had Bikeability training?

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10. How confident are you cycling on roads?

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11. How confident are you cycling on roads with your family?

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12. Have any adults in the household had cycle training in the last ten years?

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