Somerville Bicycle Crash Survey
The Somerville Bicycle Committee would like to collect data about bicycle crashes that occur in our city to identify problematic areas, better inform enforcement priorities, and drive change that increases the safety of our citizens and visitors. If you're involved in a bicycle crash, please consider filling out this form to help us collect data. While we will not be asking for any information pertaining to identity, by completing this form you are acknowledging that the City of Somerville and any of it's affiliates (including but not limited to the Somerville Bicycle Advisory Committee) have the right to make the data collected public and are cannot be held liable for any civil or legal consequences of publication or collection of this data.
Sign in to Google to save your progress. Learn more
When was your crash? *
What time of day did you crash occur? *
Location of Crash (general, street, cross street, nearby businesses) *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy