Name, Postcode or village:    

Email address:

1. Do you have any mobility problems that cause you problems with gates?

No Yes

2. Can you get on and off to open gates or negotiate other obstructions without pain or discomfort?

Yes- no problems Yes- Just inconvenient No

3. How old are you ?

Under 16 17 to 39 40 to 60 60 Plus

4. If you didn’t ride would you be physically able to access the countryside on foot even for a short period?

Yes - Any terrain Yes - Good terrain No

5. How long do you ride out on a hack for generally?

Less than an Hour Less than 2 hours Less than 4 hours Less than 6 hours All day Hacks

6. How Many Horses do you have ?

Please type number of horses here.

7. How many riders in the family?

Please type number in here.

8. Do you work?

No Yes Under 37 hours a week. Yes - over 37 hours per week

8. How long do you ride for on average per week in the summer?

Less than an Hour Less than 2 hours Less than 4 hours Less than 6 hours more

9. How long do you ride for on average per week in the winter?

Less than an Hour Less than 2 hours Less than 4 hours Less than 6 hours more

10. Your comments, areas that need improvement, local issues, etc ?

Thank you.