Thank you for taking the time to support the Motorcycle Riders Association of WA with our questionnaire about Motor Bike and personal security. Please answer the questions below in as much detail as possible. If you have any queries or questions please call the survey coordinator Phil Lucks on 0410 834 219

* = required field

First Name *

Last Name *

Street Address

City

State

Post Code *

Email Address *

Q1) Have you ever had a Motor Bike or Motor Cycle stolen? *

Yes
No

Q2) If Yes to above, was it recovered?

Yes
No

Q3) If yes, was it damaged extensively?

Yes
No

Q4) Was it your main mode of transport?

Yes
No

Q5) How were you inconvenienced?

(In answering this question please consider the following 'Out of pocket costs. Time wasted with Police and Insurance. Getting stranded because your transport had been stolen. Loss of income because you cant get to work, or communicate with clients/ staff etc. Having to rely on public transport or borrow a replacement. The impact on your personal life and feeling of personal security. The impact on friends/ relatives etc.)

Q6) Were you out of pocket?

Yes
No

Q6b) If yes to Q6, how much were you out of pocket?

Q7) How much time was taken up arranging a replacement/ making an insurance claim/ police report etc?

Q8) How long were you ’Off the Road’?

Q9) How many Motor Bikes and Motor Cycles do you presenly own?

Q10) How many of these are insured against theft?

Q11) Does your (main) Motor Bike have any of the following security options fitted?

Immobilizer
Alarm
Data Dot

Q12) Please estimate how many Motor Bikes you think were stolen in WA last year?

Less than 500
Between 500-1000
Between 1001-1500
Between 1501-2000

Q13) Of these, how many would you estimate were never recovered?

100%		Between 25-49%
Between 75- 99%		Less than 25%
Between 50-74%

Q14) What other steps could you take to protect you Motor Bike from theft?

Q15) Have you ever been a victim of other theft crime? *

Yes
No

Q16) Have you ever had any of the following items stolen?

Laptop	Boat	Office Equipment
Mobile Phone	Tools
Car	Household Items

Q17) What impact would having any or all of these items stolen have on your life/ work/ business?

Q18) If the MCRAWA introduced a club Anti-Theft deterrant program would you support it? *

For Motor Bikes?	Mobile Phone?	Tools?
Car?	Laptop?
Boat?	Household Items?

Q19) Would you be more inclined to support an Anti-Theft program if it also contributed some fund raising *

Yes
No