QEIIMC Commuter Challenge
Get ready to kick off Bike Month in style by cycling to QEIIMC this October
Name
*
Email
*
example@example.com
Organisation
*
Position
Days per week commuting to the QEIIMC campus
*
Parking status
*
Parking Permit
Green Commuter Parking Permit
N/A
Do you commute to other DoH sites?
Please Select
Yes - Hospital sites
Yes - Community sites
No
Point of origin
*
Type of bicycle
Road bike
Mountain Bike
Hybrid bike
eBike
Other
Level of Experience
Please Select
New rider
Recreational rider
Occasional commuter
Everyday commuter
Advanced rider
How long have you been cycling?
Please Select
Less than 1 year
1 - 2 years
2 - 5 years
5 - 10 years
More than 10 years
What are your cycling motivations?
Community
Convenience
Environment / Sustainability
Health
Recreation
Other
Submit
Should be Empty: