Making Tracks - monitoring information Question Title * 1. Full name Question Title * 2. email Question Title * 3. postcode Question Title * 4. age Question Title * 5. Ethnicity Black or Black British Mixed / Multiple ethnic groups Asian or Asian British White or Caucasian Prefer not to say Another race Question Title * 6. employment status Question Title * 7. Are your day-to-day activities limited because of a health problem which has lasted, or is expected to last, at least 12 months? yes, a little yes, a lot no prefer not to say Question Title * 8. In the past month, how many days have you walked or cycled? And what are your reasons for doing so? Please include detail. Question Title * 9. What would encourage you to cycle more often? – please select all that apply My own bike A better bike or equipment Less traffic on the roads Feeling more confident on a bike Safer cycle routes Better facilities at work Feeling more confident repairing a bike Being part of a cycling group Other (please specify) Question Title * 10. What would encourage you to walk more often? please select all that apply Feeling safer Improved signage Being part of a walking group or walk buddy scheme Safer walking environment e.g. improved crossings, more street lighting Things to do and see e.g. play parks, public art, information panels More accessible walking environment e.g. removal of obstructions, wider pavements Places to stop and rest e.g. benches, parks, shade, shelter If there were a park or green space nearby Other (please specify) Done