Idle Free Zones for 2010
Exit this survey
1
. What school does your child attend? (If there is more than one, please answer for only one school.)
What school does your child attend? (If there is more than one, please answer for only one school.)
2
. Which school system is this a part of?
Which school system is this a part of?
Birmingham City
Bessemer City
Fairfield City
Homewood City
Hoover City
Leeds City
Midfield City
Mountain Brook City
Tarrant City
Trussville City
Vestavia Hills City
Jefferson County
Shelby County
Private
3
. What is the MAIN way your child travels to and from school?
What is the MAIN way your child travels to and from school?
Bus
Walk
Car
4
. Have you heard of the "Idle Free Zone" Program for schools?
Have you heard of the "Idle Free Zone" Program for schools?
Yes
No
5
. What is an "Idle Free Zone"?
What is an "Idle Free Zone"?
Turning off the car engine in carpool line while waiting for school dismissal
Parking and walking to the school door to pick up your child
Keeping the air around the school free from pollution
All of the above
6
. How many children in your family suffer from asthma?
How many children in your family suffer from asthma?
0
1
2
3 or more
7
. How many children participate in your carpool?
How many children participate in your carpool?
None - my child rides the bus or walks
Two
Three
Four or More
We do not carpool with any other family
8
. How many miles is the school from your home?
How many miles is the school from your home?
Less than one mile
1-3 miles
4-6 miles
7 or more
9
. In carpool line, what is the average amount of time your engine is turned off while waiting for school dismissal?
In carpool line, what is the average amount of time your engine is turned off while waiting for school dismissal?
1-15 minutes
16-30 minutes
More than 30 minutes
I keep the car running
The line is not stationary by the time I arrive
My child walks or rides the bus
10
. Are you aware that idling the engine contributes to poor air quality in Birmingham?
Are you aware that idling the engine contributes to poor air quality in Birmingham?
Yes
No
11
. Will you do your share for cleaner air by not idling your engine at school and in drive-thru lanes?
Will you do your share for cleaner air by not idling your engine at school and in drive-thru lanes?
Of course, count on me!
I'll think about it
I doubt I'll change my habits
12
. Thank you for taking our Clean Air Survey!
Please enter the following information to be eligible for a monthly drawing of a $25 gas gift card. Monthly winners will be notified via phone and mail.
Auntie Litter and APCA will not give your personal information to any other entity and will only be used for this drawing.
Drawings will be held the first business day of the month.
Only one entry per household per month.
Thank you for taking our Clean Air Survey! Please enter the following information to be eligible for a monthly drawing of a $25 gas gift card. Monthly winners will be notified via phone and mail. Auntie Litter and APCA will not give your personal information to any other entity and will only be used for this drawing. Drawings will be held the first business day of the month. Only one entry per household per month.
Name:
Address:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code:
Phone Number:
Powered by
SurveyMonkey
Create your own
free online survey
now!
Javascript is required for this site to function, please enable.