Please share your experiences and thoughts with the team at the Amy Gillett Foundation to help us make Australian roads safer for cyclists.

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* 1. How often do you ride a bicycle on the road?

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* 2. What is your biggest concern while cycling on the road?

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* 3. What would encourage you to cycle more frequently?

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* 4. Have you ever been involved in a cycling accident or collision with a vehicle?

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* 5. If you answered 'Yes' to the previous question, what was the cause of the accident?

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* 6. What road safety measures do you believe should be prioritised for cyclists?

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* 7. What do you think would make roads safer for children to ride?

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* 8. How confident are you in your knowledge of road rules for cyclists?

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* 9. If you drive a car, how confident are you that you know the road rules as a driver?

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* 10. Is there anything else you'd like to share with us?

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* 11. If you’d like to go into the draw to win some prizes, please leave us your details!

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