The Safe Routes to School office and the Governor's Council on Physical Fitness, Health and Sports thanks you for being part of Walk to School Day. We are extremely pleased that so many Michigan youth receive the positive fitness and safety message that Walk to School Day offers. Please help us assess the impact of the program and plan for next year's event by completing this form. We look forward to hearing what we can do to make your job easier next year.

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* 1. School name

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* 2. County

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* 3. School address

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* 4. City

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* 5. Zip code

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* 6. Contact person name

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* 7. E-mail address

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* 8. Phone number

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* 9. Has your school previously participated in Walk to School Day?

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* 10. How many students attend your school?

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* 11. Approximately how many students participated in this year's Walk to School Day event at your school?

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* 12. Approximately how many other community members (non-students) participated?

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* 13. Aside from your school, what other organizations or entities participated in your Walk to School Day? (City Staff, Police Department, Medical Association, Sports Team, etc?)

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* 14. How did your school advertise the event?

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* 15. Describe briefly what your school did to celebrate Walk to School Day

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* 16. List any challenges that occurred either planning or the day of your event.

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* 17. Please provide any additional comments about how the program could be improved

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* 18. Early registration for 2020 (check all that apply)

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