Section 1: About You and Your Household

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1. Where do you live?

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2. What is the nearest road intersection to your home?

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3. What is your age?

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4. How many children in your household attend school (Pre-K through 12th grade)?

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5. What grade levels are your children in? Select all that apply.

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6. Which school(s) do your children attend? Select all that apply.

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7. Does anyone in your household have a disability or mobility limitation that affects how they travel (for example, uses a wheelchair, walker, or cane, or has a vision or hearing impairment)?

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8. How many working vehicles are available to your household?

Section 2: Getting To and From School

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9. Approximately how far does your child live from school?

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10. How does your child usually travel to and from school?

  Walk Bike School bus Family vehicle Carpool Other
To school
From school

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11. Does your child's route to school require traveling along or crossing M-57?

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12. In the past year, has your child asked for permission to walk or bike to school?

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13. Which of the following would make you more comfortable letting your child walk or bike to school? Select all that apply.

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14. At what grade would you allow your child to walk or bike to school without an adult?

Section 3: Traveling Along and Across M-57

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15. How often do you or members of your household walk, bike, or use a mobility device along or across M-57?

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16. How safe do you feel doing each of the following?

  Very safe Somewhat safe Somewhat unsafe Very unsafe Don't do this
Walking along M-57
Crossing M-57 on foot
Biking along M-57
Driving on M-57 near schools

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17. Which issues concern you most along M-57? Select up to three.

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18. Are there specific locations along M-57 or elsewhere in the community that feel unsafe for walking or biking? Please describe.

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19. In the past three years, have you or someone in your household been involved in a crash or near-miss while walking or biking in the area?

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20. How often do drivers follow the posted school zone speed limits?

Section 4: Accessibility

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21. How would you rate the condition of sidewalks and curb ramps in your neighborhood?

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22. Which barriers make it difficult for people using wheelchairs, strollers, or walkers, or for older adults, to get around? Select all that apply.

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23. How much do winter conditions (snow, ice, plowed snowbanks) limit walking or biking in the community?

Section 5: School Arrival and Dismissal

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24. How would you rate traffic safety around schools during morning drop-off and afternoon pick-up?

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25. Which programs would you support or participate in? Select all that apply.

Section 6: Priorities and Feedback

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26. Please rank the following improvements from most to least important (listing the most important at the top and the least important at the bottom).

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27. Where would you most like to see new sidewalks, paths, or crossings?

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28. Besides school, where would you walk or bike more often if it felt safer? Select all that apply.

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29. Is there anything else you'd like us to know?

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