The Civilised Cyclist – Pre-Ride Questionnaire

Name *

First

Last

Phone *

Date of ride: *

We want to make sure that you have a fabulous cycle ride with us and to make sure that it all goes smoothly please could you answer a few short questions for us:

Which of the following best describes how often you cycle? *

Hardly ever (1-2 times a year or less)
Very infrequently (a few times a year)
1-2 times a month
1-2 times a week
Several times a week

When you cycle, how far do you typically go? *

Short distances (e.g. locally and to the shops/school run)
Medium distances (e.g. commuting or rides up to an hour long)
Longer distances

Have you ever ridden an E-bike before? *

Never
A handful of times
Many times

Are you comfortable cycling as a group all close together? *

Yes
No
Don't know / never tried

Do you have any underlying health conditions we should know about? (e.g. heart, asthma, epilepsy, diabetes, chronic back or muscular conditions or anything else that may impair your riding ability?

Do you have any allergies or dietary requirements (including vegetarian/vegan)?

Emergency contact name: *

First

Last

Emergency contact phone *

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PT Ski Ltd - 41 Napier Avenue - London SW6 3PS - Tel: +44 (0)20 7736 5557 - Mob: +44 (0)7590 806385

PT Ski Limited - Registered Office: Elizabeth House, 13-19 London Road, Newbury, Berkshire, RG14 1JL. Registered in the UK. Registered No: 7167038

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