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* 1. What is your first name?

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* 2. What is your last name?

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* 3. Did you participate in the Cycliste averti program yourself, or did your child take part in it?

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* 4. In which school year did participation in the program take place?

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* 5. In which region are you located?

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* 6. In which city?

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* 7. At which school was Cycliste averti offered to you?

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