Our school community is working with the Oregon Department of Transportation’s Safe Routes to School Program to improve streets near the school, to help families get to school more safely whether they’re on foot, bicycle, bus, or car. Safe Routes to School programs helps create safe, convenient, and fun opportunities for children to walk, bike and roll to and from school.

Help us better serve your family’s needs by completing this 5-minute survey about travel choices and safety. Your participation will help us improve our communities’ options for getting children to and from school. The survey is also available in Spanish.  Thank you for your time! 

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* 1. What city do you live in?

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* 2. What school does the student who brought this survey home attend?

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* 3. What grade is this student's grade?

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* 4. What is this student's gender?

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* 5. How far does this student live from school?

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* 6. How did this child travel TO school last week? Mark the mode this student used for each day of the week.

  Walk  Bike School Bus Family vehicle (with your children only) Carpool (with children from other families) Public transit (bus/train) Other (skateboard/scooter/etc.)
Monday
Tuesday
Wednesday
Thursday
Friday

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* 7. How did this child travel FROM school last week? Mark the mode this student used for each day of the week.

  Walk Bike School Bus Family vehicle (with your children only) Carpool (with children from other families) Public transit (bus/train) Other (skateboard/scooter/etc.)
Monday
Tuesday
Wednesday
Thursday
Friday

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* 8. Do you allow this student to travel to school in the following ways? Mark you response for each mode.

  No Yes, by themselves Yes, with a friend or sibling Yes, with a trusted adult
Walk
Bike
School Bus
Family vehicle (with your children only)
Carpool (with children from other families)
Public transit (bus/traint)

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* 9. How strongly do you agree or disagree with the following statements:

  Strongly agree Agree Neither Disagree Strongly disagree
Walking/biking to school is fun for my student
Walking/biking to school is healthy for my student
Walking/biking to school is encouraged by my student's school
Walking/biking to school is something I wish we did more often

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