Navy Region Southwest
Individual Rider Survey
Complete survey if you currently operate or ride a street motorcycle, dirt bike or All Terrain
Vehicle (ATV), or if you plan to own or operate a motorcycle/ATV in the future.
1. Which of the following do you own, operate or ride? (check all that apply):
Street Motorcycle Dirt Bike ATV
2. If you ride a street motorcycle, do you have a valid State motorcycle operator license or state
endorsement (permit) authorizing operation of a motorcycle?
3. If you operate/ride a motorcycle or ATV, check the appropriate box if you have successfully
completed a Naval Safety Center or other approved training course?
Street motorcycle Dirt bike ATV
Sport Bike CC’s ______
Standard CC’s ______
Cruiser CC’s ______
Scooter CC’s ______
Dual Sport CC’s ______
Touring CC’s ______
RETURN THIS SURVEY TO YOUR SUPERVISOR OR COMMAND POINT OF