NELC Smart Cycling Project - Application Survey
How often do you cycle in North East Lincolnshire?
Frequently - more than three times per week
Often - at least once a week
Occasionally - once or twice a month
Not often - less than once a month
What is your usual length of journey? (round-trip)
Less than 1 mile
between 1 and 5 miles
More than 5 Miles
What is your main reason for cycling?
Journeys out with friends or family
To get to and from work or college
For health reasons
To get to and from the shops
Sport or competition
Other
How confident do you feel cycling...
Not at all confident
Not confident
Neutral
Confident
Very Confident
In the town centre
Not at all confident
Not confident
Neutral
Confident
Very Confident
In surrouding areas
Not at all confident
Not confident
Neutral
Confident
Very Confident
Near where you live
Not at all confident
Not confident
Neutral
Confident
Very Confident
What type of smartphone do you have?
Android
iOS (Apple)
Other
None
What is your age?
Under 18
18-24
25-34
35-49
50-64
65-79
80+
I prefer not to say
Which of the following options best describes how you think of yourself?
Woman
Man
Non-binary
I prefer not to say
In another way
Terms and conditions of the trial can be found
here
.
I have read the terms and conditions and agree to participate in the trial under the terms and conditions outlined.
North East Lincolnshire Council is responsible for the collection of your information to register you for the See.Sense Bike Lights Offer and provide you with updates during the project. We ensure that your information will be processed in accordance with data protection legislation and not used for any other purpose. We are committed to protecting your privacy and will use your personal information fairly. The personal data that we will collect about you as part of this process are: Name, address including Postcode, Age, Gender and Email. We will safely store your personal data for a maximum of 12 months. For further information on how we handle your personal data, and your information rights visit our
Privacy Policy
. Please contact us if you have any questions.
Thank you for completing our survey. We require the following details to allow us to contact you with a personalised discount code, if you are chosen as one of the participants for the See.Sense Smart Cycling North East Lincolnshire trial.
Contact Information
First Name
Last Name
Email Address
Address Line 1
Address Line 2
Postcode
If I am selected in the trial I agree to receive project communications and updates on project process.
Agree
Disagree
Done
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