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Bike/Ped Collisions and Near Misses

Survey for Bike/Ped Collisions and Near Misses

Bike Walk Knoxville works every day to improve the safety of people walking and bicycling in our region. We want to hear about any collisions or near-miss incidents you’ve experienced while walking or riding a bicycle within the last 12 months. (By near-miss incident, we mean an incident where you were almost struck by a vehicle and were concerned for your safety.)

This information helps us better understand the risks of walking and bicycling in the Knoxville region, so that we can better work on increasing safety. We’re specifically interested in collisions and incidents in Knox, Blount, Anderson, Loudon and Sevier counties.

When you complete the survey, including contact information at the end, you will be eligible to receive one of several rewards. Rewards include a monthly Knoxville Area Transit pass and a $50 gift card to a local bike shop. Your contact information will not be used for any purpose other than to inform you if you receive a reward.
 
1. Within the last 12 months, have you been hit by a car (or other motor vehicle) while walking or riding a bicycle?  *This question is required.
Where did the collision occur? (If there has been more than one collision, tell us about the most recent one.) *This question is required.
How were you travelling?  *This question is required.
Was it a hit and run?  *This question is required.
Were you injured?  *This question is required.
Would you consider it a minor injury or a serious injury?  *This question is required.
Was a police report filed?  *This question is required.
2. Within the last 12 months, have you had a near-miss incident with a car (or other motor vehicle) while walking or riding a bicycle? (By near-miss incident, we mean an incident where you were almost struck by a vehicle and were concerned for your safety.) *This question is required.
Where did the incident occur? (If there has been more than one incident, tell us about the most recent one.) *This question is required.
How were you travelling? *This question is required.
4. Please tell us a bit about yourself. These demographic questions are optional. What is your gender? 
5. What is your age-range? 
6. Are you Hispanic, Latino/a, or of Spanish origin? 
7. How would you describe yourself? 
This question requires a valid email address.
This question requires a valid number format.