Dear Parent or Caregiver,

The West Fargo Safe Routes to School Study team would like to learn more about walking and biking to school for West Fargo school students (K-8).

This survey takes about 5 minutes to complete. We ask that each family complete one survey per school your children attend. If you have multiple children in the same school, please complete the survey for the child with the next upcoming birthday.

Thank you for participating in this survey!

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* 1. School Name

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* 2. Grade of Student

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* 3. Is the child for whom you're completing this survey male or female?

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

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* 5. How far does your child live from school?

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* 6. How does your child arrive to school in the Fall/Spring?
(Select all that apply)

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* 7. How does your child leave school in the Fall/Spring?
(Select all that apply)

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* 8. How does your child arrive to school in the Winter?
(Select all that apply)

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* 9. How does your child leave school in the Winter?
(Select all that apply)

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* 10. How long does it normally take your child to arrive to school?

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* 11. How long does it normally take your child to get home from school?

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

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

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

 
Distance
Convenience of driving
Parent / Caregiver Schedule
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

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* 15. In your opinion, how much does your child’s school encourage or discourage walking and biking to/from school?

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* 16. How much fun is walking or biking to/from school for your child?

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* 17. How healthy is walking or biking to/from school for your child?

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* 18. Please provide any additional comments below.

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