Please fill out a form for each person in a household. Thank You 

Name:
(for prize draw only) 
Address:
*

* (V1T 5E6) 

Gender:
Male or
Female

Age:


1. How many of these vehicles do you own? 



4. In an average week, how many of these trips does each person make by bike? 


5. Where does each person mostly cycle? 


6. In an average week, how many of these trips does each person make by walking? 


7. In an average week, how many trips does each person make by bus (including HandyDart)? 


