Mole Valley Cycling Survey
Please help us by filling in this questionnaire if you live or work in Mole Valley.
Town/village where you live/work
Post Code
Age Group
Under 17
18-24
25-44
45-54
55-64
65+
male
female
How many children in your household:
aged 0-4
aged 5-11
aged 12-15
aged 16-18
Do you have access to a bike?
yes
no
How often do you use it?
Every day/nearly every day
Once or twice a week
Once a fortnight
Once a month
Less often than once a month
What journeys do you use it for?
To/from work or school/college
miles
Shopping
miles
Visiting people
miles
Leisure
miles
other
miles
Why do you use it
rather than other means of travel?
(Select 3 only:
mark 1 to 3 in order of preference -
1 = strongest reason)
Enjoy cycling
Health/fitness
Too far to walk
Environmental
Cheaper
Quicker
No car
Would you like to cycle more?
yes
no
What stops you using the bike more?
(Select 3 only:
mark 1 to 3 in order of preference -
1 = strongest reason)
Too much traffic
Health/fitness (or lack of it!)
Too far to cycle
Exhaust fumes/pollution
Too dangerous
Nowhere to park it
English weather
Not enough cycle lanes
Other
What car journeys would you
like to substitute with a bicycle?
To/from work or school/college
Shopping
Visiting people
Leisure
Other
What would help you to cycle more?
Cycle lanes
Training
Someone to cycle with at first
Maps showing safe routes
Other
Are there any places in Mole Valley which you consider are difficult for cyclists? Please say why each place is difficult.
Location
Difficulty/Problem
Suggested improvement
1
2
3
Your name
E-mail
Tel
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