Pedal Pals Application

HOME INFORMATION:

Have you applied to PEDAL PALS before?









WORK INFORMATION:



State


Reporting Time Leaving Time

How far would you be willing to travel before meeting someone?

Can you arrange more than a
     15-minute adjustment to your working hours?

GENERAL INFORMATION:

How do you normally commute?
Please indicate your gender

CYCLING INFORMATION:

Please rate your cycling experience
I would like:



The purpose of this questionnaire is to obtain information for determining interest and developing potential commuter schedules for ridesharing. Completion of any or all of the items is purely voluntary and non-committal. Information provided will only be used in determining the feasibility of offering a service to interested individuals. Contacting potential Pedal Pal cyclists to ride with is solely the responsibility of the applicant.