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Get Women Cycling Bicycle Purchase Form
Hi! Help us find the best products/services for your needs by filling out this questionnaire as best as you can. Thank you!!
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First Name
*
Your answer
Last Name
Your answer
Contact Info
*
Your answer
When is the best time to contact you?
*
Your answer
What is your age?
*
Choose
< 20 years old
20+ years old
30+ years old
40+ years old
50+ years old
60+ years old
70+ years old
Care to share your gender identity and/or pronouns with us?
Your answer
What's your height, weight, inseam (approximates ok)?
*
Your answer
Do you presently have a bicycle(s) to ride
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No, I do not
Road bike
Mountain bike
Hybrid/city bike
Single speed
Cruiser
Folding bike
Recumbent
Electric bike/pedal assist
I have a bike but I'm not sure what type of bike it is
I use bike share (Citi Bike)
Other:
Required
Do you know the make/model of your current bicycle(s)
*
Your answer
What is your primary reason for purchasing a bicycle at this time?
*
Your answer
When would you like your bike by?
*
Your answer
What's your budget? (A price range is okay)
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Your answer
Are you looking for a new bicycle?
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Yes
No
Whichever my budget will afford me
Other:
How do you intend on using your next bicycle?
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Commuting to work/social events/for errands
Fitness
Mountain/off road
Park/Recreational
Racing
Touring/Randonneuring (shorter distances < 150mi /day trips)
Touring (longer distance > 150mi / overnighters)
Trails/off road
Other:
Required
Will you be carrying anything (computer/extra clothes/tools, etc) when you ride most of the time? If yes, please list as many items as you can think of, or give the approximate weight of your cargo.
*
Your answer
Where will store your bicycle when not in use?
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Inside
Outside, on private property
Outside, anywhere I can lock it
Other:
Required
Will you need accessories? If yes please list them (i.e. lock, helmet, fenders, basket, panniers, baby seat, car rack, etc.). If you are unsure let us know that too.
*
Your answer
How long have you been shopping for a bicycle?
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I just started
4 to 6 weeks
More than 2 months
Other:
Where are you shopping for your next bicycle?
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Local Bike Shops
Custom Build Shops
Online Shops/Distributors
Craigslist and the like
Bike Jumbles/Flea Markets/etc.
Other:
Required
How has your shopping experience been so far?
*
Your answer
Can you tell us about yourself? Why Cycling? Why now?
Your answer
What would cause you to start or increase your cycling?
More Time
Clean up/Hygiene at end of Ride
Motorists Behavior
Infrastructure: better bicycle paths
Equipment/Products
Education
Health
Bike Friendly Places
Social Support
Safety
Financial Incentives
Self Motivation
I'm good I ride all the time
Other:
Care to share your most vivid memory of bicycles/bicycling?
Your answer
Check all that apply, if you are active on social media
*
Facebook
Twitter
Instagram
Snapchat
Other:
Required
How did you learn about Get Women Cycling?
*
Your answer
Would you like to join Get Women Cycling's email list
*
Yes!
I'm already signed-up!
No thank you, not at this time.
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