PLEASE BE AS SPECIFIC AS POSSIBLE IN COMPLETING THIS QUESTIONNAIRE.  THIS INFORMATION WILL BE USED TO HELP US 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       
    ERC
    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   SAVE MONEY
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