If your child has any of the above conditions and has taken part in any Cycle South Brum activity, please complete this evaluation form. This helps us to improve the service we provide and to let our funders know that we are using their money effectively. Thank you in advance for your help.

We will add your email address to our mailing list if you are not already on it. You can unsubcribe at any time. You will also receive a confirmation email if you give us your email address.
Which medical conditions does your child have? (required)
Including if you do not have a diagnosis yet.
If you answered "other" to the previous question, please give us more information here.
Which of the following activities has your child taken part in with Cycle South Brum? Tick all that apply.
How likely would be you be to recommend Cycle South Brum to another parent of a child with a similar medical condition? 5 = very likely, 1 = not very likely