| Name: | |
| Street Address: | |
| City: | |
| State: | |
| Zip Code: | |
| Country: | |
| Email: | |
| Gender: | |
| Age: | |
| When was the last time you purchased a road/tri bike? | |
| When was the last time you purchased a wetsuit? | |
| Have you participated in this race before? | |
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| Did you participate in post race activities? | |
| What level competitor do you consider yourself? | |
| What is your household income range? | |
| How far did you travel to this event? | |
| Where did you stay overnight for the race? | |
| If hotel/motel or campsite/other, please specify | |
| Did you visit any local attractions? | |
| If yes, please name the attraction(s) | |
| Did you travel with family or friends? | |
| If yes, how many people did you travel with? | |
| How many hours per week did you train for the race? | |
| How many hours per week did you train for the ride? | |
| Did you have a PR (Personal Record) at this event? | |
| What did you like about this event? | |
| What could we do better? Additional comments? | |
| Would you recommend this event to others? | |
| Are you currently a member of a fitness center/gym? | |
| Would you be interested in membership information for the GJCC - Gordon Jewish Community Center? | |
| What brand of bike are you riding? | |
| What brand of shoes are you running in? | |