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  • Someone has prepared this questionnaire

    Can you think of any additions/changes?

    Might want to edit the name of your employer out of there.

         If no, what stops you from cycling to work?
    

    ...
    · If no, what would encourage you to cycle to work?

    These look like very similar questions phrased the opposite ways round. I would go with tickyboxes for the "What stops you?" question and have a write-in for "What would encourage you?". Also the "if no" for the second part could be "what would encourage you to cycle more often?", to catch the part-timers.

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