Return to School Parent Survey Question Title * 1. Parent Name Question Title * 2. District and Schools Students attend. Question Title * 3. Email Address Question Title * 4. Phone Number Question Title * 5. What is your zip code? 63101 63102 63103 63104 63105 63106 63107 63108 63109 63110 63111 63112 63113 63115 63116 63117 63118 63119 63120 63123 63125 63130 63136 63137 63139 63143 63147 Other (please specify) Question Title * 6. Would you be comfortable having your student(s) attend school this fall? Comfortable with minimal or no concerns Comfortable with concerns Not at all comfortable Question Title * 7. Does your child typically ride the bus/taxi to school? Yes No Question Title * 8. If social distancing guidelines are still in place and VICC is limited on modifying transportation services on a bus/taxi (possibly more than one student or "family unit" per seat), would you feel comfortable with your child riding the bus/taxi to and from regular school (see questions 8-10 for before and after school activity transportation)? Yes No, I would drive my child to/from school. No, I would keep my child at home. No, I would enroll my child in a school closer to my home. Not Applicable Question Title * 9. If social distancing guidelines are still in place and VICC could modify transportation services to limit the number of students on a bus (one student or "family unit" per seat), would you feel comfortable with your child riding the bus/taxi to and from regular school? Yes No, I would drive my child to/from school. No, I would keep my child at home. No, I would enroll my child in a school closer to my home. Not Applicable Question Title * 10. Are you able to drive your child to/from school if necessary? Yes No Question Title * 11. My ability to drive my child to/from regular school would be more likely if VICC was able to provide some form of mileage reimbursement or assist in coordinating a car-pooling arrangement? Yes No Question Title * 12. If social distancing guidelines are still in place and VICC is limited on modifying transportation services on a bus/taxi (possibly more than one student or "family unit" per seat), would you feel comfortable with your child riding the bus/taxi to and from before and after school activities? Yes No, I would drive my child to/from school. No, I would keep my child at home. No, I would enroll my child in a school closer to my home. Not Applicable Question Title * 13. If social distancing guidelines are still in place and VICC could modify transportation services to limit the number of students on a bus (one student or "family unit" per seat), would you feel comfortable with your child riding the bus/taxi to and from before and after school activities? Yes No, I would drive my child to/from school. No, I would keep my child at home. No, I would enroll my child in a school closer to my home. Not Applicable Question Title * 14. My ability to drive my child to/from before and after school activities would be more likely if VICC was able to provide some form of mileage reimbursement or assist in coordinating a car-pooling arrangement? Yes No Done