Wheels to Work Bristol – Bike offers

Which of the following offers are you using today?*

Free bike service (up to £80)
£150 discount on purchasing a bike

From which organisation are you purchasing your discounted bike or receiving the bike service today?*

What is the main reason you require our Wheels to Work bike offer?*

If other, please specify:

Without the bike offer from Wheels to Work, I would travel to the above by:*

Which of the following best describes your situation concerning having a driving license and access to a car?*

I have a full driving license for a car and current use of my own/ a shared car
I have a full driving license for a car and current use of or access to someone else’s car
I have a full driving license for a car but do not own of have access to a car
I do not have a full driving license

How did you find out about the scheme?*

Referred by another organisation offering Wheels to Work support, e.g. job centre
Travelwest website
Bike provider website/ advertising
Word of mouth, e.g. another Wheels to Work user
Wheels to Work advertising on buses/ bus information boards
Wheels to Work online advertising

What proof of circumstance did you provide today to show that you are eligible for Wheels to Work support?*

About you

This section is really important as it helps us to gain a better understanding of the views of different people and how they could be impacted by any changes. This information will remain confidential and will be used for analysis purposes only. Your personal information will not be published and individuals will not be identified. To help us to improve the service we offer now and in the future we will contact you after 13 weeks to gather additional feedback about the service you have received.

Full postcode:*

To be eligible for the scheme you need to have a postcode that falls within the Bristol City Council authority boundaries

Full name:*

Telephone number:*

Email address:

Age:

Gender:

Female
Male
Prefer not to say

Do you consider yourself to be disabled?

Yes
No
Prefer not to say

If yes, please specify:

Ethnicity:

If other, please specify:

In order to benefit from the scheme you will need to provide consent for us to process your data*

Anonymised data will be processed by the University of the West of England (UWE) to assess the success of the scheme.

Please select here to opt in to have your personal data to be held and processed by Travelwest

Thank You

Thank you for taking the time to respond to this survey.
Please press the submit button below to send us your response.

Any personal information that you have supplied will be held by Bristol City Council in accordance with the Data Protection Act. This information will only be used as part of this exercise and personal information will be used as decribed in the privacy notice.

Comments

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Please fill in the below form when you have purchased a bike through Wheels to Work, using the £100 discount, or if you have received a free bike service.

About you

Thank You