Walking and Biking to School - Parent Survey

Survey About Walking and Biking to School for Parents

Dear Parent or Caregiver,

Your child's school wants to learn more about children walking and biking to school. This survey will take about 5-10 minutes to complete. We ask that each family complete only one survey per school your children attend. If more than one child attends the same school, please fill out the survey for the child with the next birthday from today's date. Your responses will be kept confidential and neither your name or your child's name will be associated with any results. Thank you for participating in this survey!
1.School Name:(Required.)
2.What is the grade of the child you are filling out this survey for?(Required.)
3.How far does your child live from school?
4.On most days, how does your child arrive to school?
Walk
Bike
School Bus
Family Vehicle
Arrive at School
Leave for Home
5.Which of the following issues affected your decision to allow, or not to allow your child to walk or bike to/from school?
6.Which of the following items would increase the likelihood that your child would walk or bike to school?
7.How much FUN is walking or biking to/from school for your child?
Very Fun
Fun
Neutral
Boring
Very Boring
8.Would you be interested in any of the following activities?
9.Contact Information: Name and Email Address
10.Please provide any additional comments below: