Workplace Cycling Program Evaluation Form
Help us improve our cycling program by sharing your experience and feedback.
Full Name
*
First Name
Last Name
Department or Team
*
Email Address
*
example@example.com
How often do you participate in the workplace cycling program?
*
Daily
Several times a week
Once a week
Occasionally
Never
How would you rate your overall satisfaction with the workplace cycling program?
*
1
2
3
4
5
Please indicate your level of agreement with the following statements about the cycling program:
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
The program encourages me to cycle more often
1
2
3
4
5
The cycling facilities (racks, showers, etc.) are adequate
6
7
8
9
10
The program has improved my health and well-being
11
12
13
14
15
The program contributes to a positive workplace culture
16
17
18
19
20
What are the main benefits you have experienced from participating in the cycling program? (Select all that apply)
*
Improved physical health
Reduced stress
Cost savings
Environmental impact
Social connections
Other
What barriers or challenges have you faced in participating in the cycling program? (Select all that apply)
*
Lack of time
Distance from home
Weather conditions
Insufficient facilities (racks, showers, etc.)
Safety concerns
Other
What suggestions do you have for improving the workplace cycling program?
Would you recommend the workplace cycling program to your colleagues?
*
Yes
No
Maybe
Submit Evaluation
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