Pre-Project Data Collection Results: 2026 Drive for Change Survey

Thank you for completing your first step of the Fall Project Competition! Remember, post-project data collection will be recorded in the Final Report, not a separate form. The Final Report will be due December 4.
Please contact Callie Toler at callie.toler@vsp.virginia.gov if you have any questions.

Note: Your Pre-Project data collection location and timing must match your Post-Project data collection. For example, if you collect Pre-Project data in the car rider line during dismissal, you should collect Post-Project data in the same location. If surveys are administered during lunch periods, they should be conducted during the same lunch periods for both Pre- and Post- data collection. This ensures consistent and accurate data collection!

Keep a record of your pre-project data to compare to your post- project data! Be sure to share results with your student body.

1.Data Collection Information:
(Required.)

Name of School or Youth Group:

Date Seat Belt Check was conducted or Surveys were collected:

Time/Class Period that the Seat Belt Checks or Surveys were collected:

Location (bus loop, car rider line; if you conducted surveys, you could put Driver's Ed classroom, during lunches, etc.):

2.Data Collection Results:
*Please ONLY give numerical data, no words or explanation. See question #3 for comment.
(Required.)

Total number of vehicles checked or surveys collected during Pre-Project Data Collection:

Total number of vehicles checked with all occupants belted OR number of survey responses that chose "always" for question #1:

Final percentage of seat belt usage:

3.If you have any comments or need to give additional information, please include it here.
*Not a requirement.

4.Adult Sponsor who verified the results:(Required.)