Eddington Borrow a Bike Survey and Pre-Booking Form
Please complete the below Travel Survey and Pre-Booking Form. On completion you'll be taken through to Booqable where you'll be able to select your bike and any accessories and choose a collection date.
Full Name
*
First Name
Last Name
Please confirm that you are currently an Eddington Key Worker Housing Resident.
*
Yes
No
First Line of Home Address
*
Home Postocde
*
In order to supply the correct size bike, please confirm your height in centimetres.
*
Are you new to riding a bike?
*
Yes
No
Month collecting bike
Please Select
January
February
March
April
May
June
July
August
September
October
November
December
Do you already have a bike?
*
Yes
No
If yes, how often do you currently cycle a week?
1-2 times a week
more than three times a week
more than four times a week
more than five times a week
more than six times a week
once a day
more than once a day
Why are you loaning a bike? Please tick all that apply.
*
Save money by reducing transport costs?
Get faster journey times?
Improve my general health and well being?
Increase my levels of physical activity/ fitness?
Spend time with family and friends?
Gain independence/freedom?
Develop confidence in cycling?
Have more flexibility to travel at a more convieneinet time?
Seek to lower levels of travel related frustration?
Explore more locations than previously?
Other
Do you currently drive to work for any part of your journey?
*
Yes
No
Do you currently cycle to work for any part of your journey?
*
Yes
No
If you are new to the university, have you never undertaken a trip to work?
Yes
No
Please tell us which modes of transport you currently use to travel to work (please tick all that apply for each day).
*
By bike
By foot
By bus (Universal)
By bus (other)
By taxi
By car share - passenger
By car share - driver
By car - driver
Powered two wheeler
Not No response
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Please tell us which modes of transport you will use to make the following journeys, where applicable (please tick all that apply).
*
By bike
By foot
By bus (Universal)
By bus (other)
By taxi
By car share - passenger
By car share - driver
By car - driver
Powered two wheeler
Not No response
School Run
Food Shopping
City Centre
Rail Station
Is there anything we could do to improve the booking process?
How would you describe your ethnicity? Please select the one box that you feel most closely represents your ethnicity.
*
Asian British
Chinese
Any other mixed background
Black British
Other black background
White British
Other white background
Mixed - white and Asian
Mixed - white and black
Any other mixed background
Other ethnic background
Prefer not to say
No response
How do you describe your gender identity?
*
Woman
Man
Prefer not to say
Other
No response
Which age category do you fit into?
*
Under 25
25 - 34
35 - 44
45 - 54
55 - 64
65 and over
Prefer not to say
No response
Do you have caring responsibilities?
Yes
No
If Yes, Who are your caring responsibilities for?
Dependant adults
Pre-school age children
Primary school age children
Secondary school age children
After submitting this form you will be taken to our online rental booking page. Although the booking system allows you to select different days of the week, please only select the Saturday dates that we are at Eddington (these are listed on the booking page). Please note that If you select a different date to one of these we will have to rearrange your booking.
*
I understand
Submit and open Booking Page
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