DadeMotorCycleTraining

PLEASE BE AS SPECIFIC AS POSSIBLE IN COMPLETING THIS QUESTIONNAIRE. THIS INFORMATION WILL BE USED TO HELP YOUR INSTRUCTOR TEAM CREATE A MORE EFFICIENT LEARNING ENVIRONMENT FOR YOUR CLASS. ALL RESPONSES ARE CONFIDENTIAL. THANK YOU FOR YOUR COOPERATION.

	NAME:
	AGE:
	SEX:	FEMALE MALE
PREVIOUS MOTORCYCLE RIDER COURSES TAKEN:
		BRC Miami	BRC Cape Coral
		ERC Miami	ERC Cape Coral
		OTHER:
DO YOU OWN A MOTORCYCLE?
		YES	NO
HOW LONG HAVE YOU BEEN RIDING?
		YEARS:
		MONTHS:
PRIMARY PURPOSE FOR RIDING (Check one):
		COMMUTING	TOURING	SPORT TOURING
		RECREATION	SPORT	OTHER
HAVE YOU BEEN INVOLVED IN A MOTORCYCLE ACCIDENT?
		YES	NO
WHY DID YOU ENROLL IN THIS COURSE?

HOW DID YOU HEAR ABOUT THIS COURSE?

ANY ADDITIONAL COMMENTS