Free Bike Program Follow Up Survey

Fieldset

Demographic Questions

Name *The following 6 questions are questions you already answered when you applied for a bike. We are interested in knowing how these factors may have changed for you. Your answers are confidential, and you may skip any question you are uncomfortable answering.
Where are you currently living?
What sources of income do you currently have? *
Please check all that applyAFCD/TANF (Aid to Families with Dependent Children/Temporary Assistance for Needy)GA (General Assistance)SS (Social Security)SSI (Supplemental Security Income)SSDI (Social Security Disability Insurance)WagesUnemployment InsuranceNoneOther
Please share any "other" sources of income that you have
Do you participate in any of the following programs?
Please check all that applyFood StampsMedicaidProbationWork Release
How much income do you currently have? You can share your weekly, monthly, or annual income. Let us know which one it is.
How many people are in your household? Include yourself and anyone else that you share your income with, such as children or a spouse.

Impact Questions

How have you used your bike?
Please check all that apply. If you are no longer riding your bike, answer for how you used it before you stopped riding.Got a job (select this option if you bike to work and didn't have a job when you got your bike)Kept a job (select this option if you bike to work and already had a job when you got your bike)General transportation (groceries, appointments, etc.)Transportation to visit familySpent time with my children riding bikes togetherImproved fitnessHealthier weightExplored new placesFelt more connected to my communityFelt happy/had funNone
Other ways you've used your bike Please share any other ways you have used your bike that are not listed above
Are you still using your bike? *
Yes, same bike I was givenYes, but a different bikeNo
If you are no longer riding the bike that was given to you, why not?
Please check all that applyI have a car nowI have a better bicycle nowMy bike was stolenMy bike is brokenBiking was too tiring or uncomfortableBiking was too scary or stressfulBiking made me too sweaty/other hygiene concernsI gave my bike to a friend or family memberOther
Are there any other reasons you are not using your bike that are not listed above?
Have you ever come back to Urban Bike Project to get your bike fixed? *
YesNoNot sure
Did you know that you can get your bike fixed for free at Urban Bike Project? *
We have regular hours, or you can call us to make an appointmentYesNoNot sure
Have you ever combined biking and transit by putting your bike on a DART bus rack? *
Choose one answer.No because I didn't know you could do thatNo because I don't know how to use the racksNo because I don't need to put my bike on a busYes
Do you need a new bike? If your bike was lost or stolen, would you like a replacement bike? If yes, please provide an email or phone number so we can contact you.
If we were to offer more services, which ones would be most useful to you? *
Let us know how we can do a better job. Please check all that applyMore day time hoursMore evening hoursClasses on basic mechanicsInformation on safe places to rideInformation on how to use the DART bus racksProvide low-cost or free tool kits with each bikeNone of the above
Is there anything else you'd like to share with us?

Fieldset

Demographic Questions

Impact Questions

Verification