Appleton Area District Staff is working with the East Central Wisconsin Regional Safe Routes to School Program (http://eastcentralsrts.org/) to increase the safety of students walking or bicycling to school within the Appleton School District. We are asking all parents with students in K-8th grade to please fill out this survey at your earliest convenience. Your feedback is important to us and is greatly appreciated.

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* 1. How many children do you have attending a school within the Appleton Area School District?

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* 2. What streets or intersection is nearest your home? Provide the two intersecting streets (example: street 1-Meade St. street 2-Washington St.)

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* 3. Please answer the following questions for each child you have enrolled in the Appleton Area School District.

  Which school does your child attend? On most days, how does your child get to school? On most days, how does your child get home from school?
Child 1
Child 2
Child 3
Child 4
Child 5

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* 4. Please answer the following questions for each child you have enrolled in the Appleton Area School District.

  Which school does your child attend? On most days, how does your child get to school? On most days, how does your child get home from school?
Child 1
Child 2
Child 3
Child 4
Child 5

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* 5. Please answer the following questions for each child you have enrolled in the Appleton Area School District.

  Which school does your child attend? On most days, how does your child get to school? On most days, how does your child get home from school?
Child 1
Child 2
Child 3
Child 4
Child 5

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