Chester Community School District 139 wants to learn your thoughts about children walking and biking to school. This survey will take about 5 minutes to complete. Please complete only one survey per school your children attend. Your responses will be kept confidential and neither your name nor your child's name will be associated with any results. Thank you for your participation in assisting us to learn more about students in our district walking and biking to school!

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* 1. What school does your student attend?

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* 2. What grade is your student in?

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

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* 4. On most days, how does your child arrive to school?

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* 5. On most days, how does your child leave from school?

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* 6. How long does it normally take your child to get to school?

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

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

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* 9. What of the following issues affected your decision to not allow your child to walk or bike to/from school? (select all that apply)

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