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* 1. What is your name?

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* 2. Could you briefly describe your type of cycle or mobility device? (For example "two wheel cargo bike with box at front" or "three wheel hand-cycle" or "standard bicycle plus a trailer behind which holds my mobility aid".)

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* 3. Do you know the approximate dimensions of your cycle? (For example "160cm long, 80cm wide".) 

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* 4. Would you consider yourself

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* 5. What is your address? 

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* 6. What is your email address?

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* 7. What is your phone number? (Just in case we need to speak to you in person.)

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* 8. Anything else that you'd like to add? (For example regarding location, or neighbours who also have a non-standard cycle who would like to take part, or anything else.)

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