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Any medical needs we should be aware of while you are cycling with us? (e.g. epilepsy, asthma, allergies etc).

In the past week, on how many days have you done a total of 30 minutes or more of physical activity (this can include sport, gardening, walking, cycling or any activity that was enough to raise your heart rate)?

Is this person classed as being on low income ?

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How would you best describe your disability ?

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