MVMS Safe Routes to School Survey (For Parents)

Question Title

* 2. What is the grade of the child who brought home this survey?

Kindergarten

First Grade

Second Grade

Third Grade

Fourth Grade

Fifth Grade

Sixth Grade

Seventh Grade

Eighth Grade

Question Title

* 3. Is the child who brought home this survey male or female?

Male

Female

Question Title

* 4. How many children do you have in Kindergarten through 8th grade?

Question Title

* 5. What is the street intersection nearest your home? (provide the names of two intersecting streets)

Street 1

& Street 2

Question Title

* 6. How far does your child live from school? (choose one)

a. less than 1/4 mile

b. 1/4 mile up to 1/2 mile

c. 1/2 mile up to 1 mile

d. 1 mile up to 2 miles

e. More than 2 miles

f. Don't Know

Question Title

* 7. On most days, how does your child ARRIVE at school? (Choose One)

a. Walk

b. Bike

c. School bus

d. Family vehicle (only with children from your family)

e. Carpool (riding with children from other families)

f. Transit (city bus, subway, etc.)

h. Other (skateboard, scooter, inline skates, etc)

Question Title

* 8. On most days, how does your child LEAVE for home? (Choose One)

a. Walk

b. Bike

c. School bus

d. Family vehicle (only with children from your family)

e. Carpool (riding with children from other families)

f. Transit (city bus, subway, etc.)

h. Other (skateboard, scooter, inline skates, etc)

Question Title

* 9. How long does it normally take for your child to get TO school?

a. Less than 5 minutes

b. 5-10 minutes

c. 11-20 minutes

d. More than 20 minutes

e. Don’t know / Not sure

Question Title

* 10. How long does it normally take for your child to get FROM school?

a. Less than 5 minutes

b. 5-10 minutes

c. 11-20 minutes

d. More than 20 minutes

e. Don’t know / Not sure

Question Title

* 11. Has your child asked for permission to walk or bike to/from school in the last year?

Yes

Question Title

* 12. At what grade would you allow your child to walk or bike without an adult to/from school?

Kindergarten

First Grade

Second Grade

Third Grade

Fourth Grade

Fifth Grade

Sixth Grade

Seventh Grade

Eighth Grade

I would not feel comfortable at any grade

Question Title

* 13. Which of the following issues affected your decision to not allow your child to walk or bike to/from school? (Select all that apply)

Distance

Convenience of driving

Time

Child's before or after-school activities

Speed of traffic along route

Amount of traffic along route

Adults to walk or bike with

Sidewalks or pathways

Safety of intersections and crossings

Crossing guards

Violence or crime

Weather or climate

Question Title

* 14. Would you probably let your child walk or bike to/from school if these problems were changed or improved?

	Yes	No	Not Sure
My child already walks or bikes to/from school	My child already walks or bikes to/from school Yes	My child already walks or bikes to/from school No	My child already walks or bikes to/from school Not Sure
Distance	Distance Yes	Distance No	Distance Not Sure
Convenience of driving	Convenience of driving Yes	Convenience of driving No	Convenience of driving Not Sure
Time	Time Yes	Time No	Time Not Sure
Child's before or after-school activities	Child's before or after-school activities Yes	Child's before or after-school activities No	Child's before or after-school activities Not Sure
Speed of traffic along route	Speed of traffic along route Yes	Speed of traffic along route No	Speed of traffic along route Not Sure
Amount of traffic along route	Amount of traffic along route Yes	Amount of traffic along route No	Amount of traffic along route Not Sure
Adults to walk or bike with	Adults to walk or bike with Yes	Adults to walk or bike with No	Adults to walk or bike with Not Sure
Sidewalks or pathways	Sidewalks or pathways Yes	Sidewalks or pathways No	Sidewalks or pathways Not Sure
Safety of intersections and crossings	Safety of intersections and crossings Yes	Safety of intersections and crossings No	Safety of intersections and crossings Not Sure
Crossing guards	Crossing guards Yes	Crossing guards No	Crossing guards Not Sure
Violence or crime	Violence or crime Yes	Violence or crime No	Violence or crime Not Sure
Weather or climate	Weather or climate Yes	Weather or climate No	Weather or climate Not Sure

Question Title

* 15. In your opinion, how much does your child's school encourage or discourage walking and biking to/from school? (select one)

Strongly Encourage

Encourage

Neither

Discourage

Strongly Discourage

Question Title

* 16. How much FUN is walking or biking to/from school for your child (select one)

Very Fun

Fun

Neutral

Boring

Very Boring

Question Title

* 17. How HEALTHY is walking or biking to/from school for your child? (select one)

Very Healthy

Healthy

Neutral

Unhealthy

Very Unhealthy

Question Title

* 18. What is the highest grade or year of school you completed? (select one)

Grades 1 through 8 (Elementary)

Grades 9 through 11 (Some high school)

Grade 12 or GED (High school graduate)

College 1 to 3 years (Some college or technical school)

College 4 years or more (College graduate)

Prefer not to answer

MVMS Safe Routes to School Survey (For Parents)

1. MVMS

Question Title

* 1. School Name

Question Title

* 2. What is the grade of the child who brought home this survey?

Question Title

* 3. Is the child who brought home this survey male or female?

Question Title

* 4. How many children do you have in Kindergarten through 8th grade?

Question Title

* 5. What is the street intersection nearest your home? (provide the names of two intersecting streets)

Question Title

* 6. How far does your child live from school? (choose one)

Question Title

* 7. On most days, how does your child ARRIVE at school? (Choose One)

Question Title

* 8. On most days, how does your child LEAVE for home? (Choose One)

Question Title

* 9. How long does it normally take for your child to get TO school?

Question Title

* 10. How long does it normally take for your child to get FROM school?

Question Title

* 11. Has your child asked for permission to walk or bike to/from school in the last year?

Question Title

* 12. At what grade would you allow your child to walk or bike without an adult to/from school?

Question Title

* 13. Which of the following issues affected your decision to not allow your child to walk or bike to/from school? (Select all that apply)

Question Title

* 14. Would you probably let your child walk or bike to/from school if these problems were changed or improved?

Question Title

* 15. In your opinion, how much does your child's school encourage or discourage walking and biking to/from school? (select one)

Question Title

* 16. How much FUN is walking or biking to/from school for your child (select one)

Question Title

* 17. How HEALTHY is walking or biking to/from school for your child? (select one)

Question Title

* 18. What is the highest grade or year of school you completed? (select one)

Question Title

* 19. Please provide any additional comments or suggestions concerning safer travel to school below.