Dear teacher,

Please take 15 minutes to help make Giant Walking Bus 2014 a success!

Brake’s Giant Walking Bus takes place 11 June, with tens of thousands of kids marching for road safety from their school gates. As well as all the action taking place in schools, Brake will be raising awareness about children’s road safety in the media.

To run a successful campaign, we need your help completing this 'hands up' survey of 7-11 year olds. It’s also a great assembly or classroom activity to get kids thinking about road safety.

Children answer with a show of hands, you write down the numbers who answer yes and no, then input your answers here or download our pdf and scan it and email to walkingbus@brake.org.uk or fax to 01484 559983.

If you can do the survey with more than one class, that’s great - just photocopy the pdf!

NB. Please approach the survey sensitively. It is important to know if anyone in the class has been seriously affected by a road crash. In some cases it may be appropriate to ask a child if they prefer to be excused.

The results of this survey are not attributed back to the school. We only ask for the name of your school so results can be broken down by region.

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* 1. Age of (most) children in the class:

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* 2. Number of children in the class today:

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* 3. Name of school:

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* 4. County:

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* 5. Do you think roads in your neighbourhood can be dangerous for kids who are walking or cycling?

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* 6. When walking or cycling on roads, do you ever worry you might be run over by traffic?

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* 7. Have you ever been hit or nearly hit by a vehicle while walking or cycling?

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* 8. Do you think traffic sometimes goes too fast on roads in your neighbourhood?

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* 9. Do you think drivers should go slower around your school or home?

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* 10. Do you think the route between your home and school should be made safer for kids to walk or cycle?

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* 11. Do you think you would get out more on foot and bicycle if roads in your neighbourhood were safer?

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* 12. Would you like to walk and cycle more, such as to get to school, go to the park, or to see friends?

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* 13. Would you like there to be more off-road paths in your area that you could use to walk or cycle to the park or shops, to see friends or get to school?

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* 14. Would you like 20mph speed limits in your area, to help slow down the traffic and protect people who are walking and cycling? (or leave blank if the question doesn’t apply because you already have 20mph limits across your area)

And three quick questions for you, the teacher…

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* 15. Do you think more pupils would walk and/or cycle to your school if roads around the school, and routes connecting the school and local homes, were made safer?

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* 16. Do you think roads in the local area around the school, and on routes connecting the school and local homes, should have 20mph limits?

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* 17. Do you think 20mph limits should be the norm across built-up areas?

You're done! Thank you for helping make this year's Giant Walking Bus a great success!

T