East Side Bike Club's E-Bike Library Participation Survey
Complete this form in order to receive more information about participating in East Side Bike Club's E-Bike Library. With this program, we are working with Shared Mobility Inc. (SMI) to test shared e-bike operations in Western New York, as part of a broader program that SMI has undertaken to demonstrate and plan for Electric Micromobility (EMM) in New York. East Side Bike Club's E-Bike Library will help model e-bike library programs to other groups in Western New York and around the country.
Sign in to Google to save your progress. Learn more
To participate in the pilot, you must:
- Be at least 18 years of age or older

- Be comfortable riding a bicycle on roadways with traffic in the City of Buffalo
I agree that I meet the above requirements for participating (age and comfortability riding a bicycle on roadways) *
To participate in the program and ride the e-bikes, you'll need to do the following:
1. Fill out this survey form

2. Fill out the pre-participation Electric Micromobility survey (part 2 of this form)

3. Attend a brief in-person orientation session

4. Follow all program rules while participating

5. Fill out the mid-program survey
I have read all the above steps for participation and these steps make sense *
Program details:
- Participation is free and includes 25 free e-bike rides. Participants will be asked to enter a credit card or debit card that will not be charged, except in the case of misusing/abusing the bikes.

- We’re testing this service and we need your input to make this a success. Again, this is a test. We're looking for participants that are interested in providing their feedback as we build this program together.

- Helmets must be worn at all times while riding the e-bikes. No exceptions.

- We're running this program with limited funding and staff time, we need participants to be partners with us in helping to make this pilot program successful.
I have read and understand the program details *
First name *
Last name *
Email *
Phone Number *
Age *
Have you ridden with East Side Bike Club before? *
How did you hear about the E-Bike Pilot? *
If you had access to an e-bike through this program, how do you anticipate using the e-bike? (Please explain and use as much details as possible) *
Have you used Reddy Bikeshare in the past? *
Required
We need your help, as this is a free pilot: will you be willing to take time to share your feedback on this program to our team during and after the pilot? *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy