Thanks for helping us understand who we're reaching with the Women Bike program. All questions on this survey are optional and anonymous.
What is your age?
55 or over
What is your gender?
Prefer not to answer
Please select the range that best describes your individual income.
$25,000 to $49,000/year
$50,000 to $74,999/year
$75,000 to $99,999/year
With which ethnicities do you most strongly identify?
Check all that apply.
Black or African-American
Latino or Hispanic
Asian (including but not limited to Chinese, Filipino, Japanese, Korean, Vietnamese)
American Indian or Alaskan Native
Pacific Islander or Native Hawaiian
Are you a member of Bike East Bay?
Never submit passwords through Google Forms.
This form was created inside of Bike East Bay.
Terms of Service