Winfield Mt. Union Elementary Walking School Bus Survey 2014

Dear Parent or Caregiver,

Your child's school wants to learn your thoughts about children walking or biking to school. This survey will take about 5 minutes or less to complete. Keep in mind that your responses will be kept confidential and neither your name nor your child's name is required.

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* 1. Which grade(s) do(es) your child(ren) represent?

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* 2. How far does your child/children live from the school?

Less than 1/4 mile

1/4 mile up to 1/2 mile

1/2 mile up to 1 mile

1 mile up to 2 miles

More than 2 miles

Don't know

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* 3. On most days, how do your child/children arrive to school?

Walk

Bike

School Bus

Family vehicle (only children in your family)

Carpool (children from other families)

Other

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* 4. On most days, how do your child/children leave from school?

Walk

Bike

School Bus

Family vehicle (only children in your family)

Carpool (children from other families)

Other

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* 5. Has your child/children asked you to bike or walk to school in the last year?

Yes

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* 6. Which of the following issues affected your decision to allow, or not allow, your child/children to walk or bike to/from school? (Select all that apply)

Distance

Convenience of driving

Time

Child's before or after-school activities

Speed or traffic along route

Adults to walk or bike with

Sidewalks or pathways

Safety of intersections and crossings

Crossing guards

Violence or crime

Weather or climate

Other (please specify)

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* 7. Would you consider letting your child/children walk or bike to/from school if this problem were changes or improved? (Select one choice per line)

	Yes	No	NA
Distance	Distance Yes	Distance No	Distance NA
Convenience of driving	Convenience of driving Yes	Convenience of driving No	Convenience of driving NA
Time	Time Yes	Time No	Time NA
Child's before or after-school activities	Child's before or after-school activities Yes	Child's before or after-school activities No	Child's before or after-school activities NA
Speed or traffic along route	Speed or traffic along route Yes	Speed or traffic along route No	Speed or traffic along route NA
Adults to walk or bike with	Adults to walk or bike with Yes	Adults to walk or bike with No	Adults to walk or bike with NA
Sidewalks or pathways	Sidewalks or pathways Yes	Sidewalks or pathways No	Sidewalks or pathways NA
Safety of intersections and crossings	Safety of intersections and crossings Yes	Safety of intersections and crossings No	Safety of intersections and crossings NA
Crossing guards	Crossing guards Yes	Crossing guards No	Crossing guards NA
Violence or crime	Violence or crime Yes	Violence or crime No	Violence or crime NA
Weather or climate	Weather or climate Yes	Weather or climate No	Weather or climate NA

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* 8. How much fun is walking or biking to/from school for your child/children?

Very Fun

Fun

Neutral

Boring

Very Boring

Other (please specify)

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* 9. How healthy is/would be walking or biking to/from school for your child/children?

Very Healthy

Healthy

Neutral

Unhealthy

Very Unhealthy

Other (please specify)

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* 10. If WMU Elementary hosts a Walk-to-School program 1 day a week, would you allow your child/children to walk to school. *Children outside of the city limits would have the option to walk from a meeting point in Winfield, IA (or other designated location), if dropped off. One or more adult(s) (trained volunteer supervisor) would accompany each group of children.

Yes

Other (please specify)

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* 11. Would you be interested in volunteering to walk a group of students to or from school? If yes, please include your contact information below.

Yes

Maybe

Other (please specify)

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* 1. Which grade(s) do(es) your child(ren) represent?

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* 2. How far does your child/children live from the school?

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* 3. On most days, how do your child/children arrive to school?

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* 4. On most days, how do your child/children leave from school?

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* 5. Has your child/children asked you to bike or walk to school in the last year?

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* 6. Which of the following issues affected your decision to allow, or not allow, your child/children to walk or bike to/from school? (Select all that apply)

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* 7. Would you consider letting your child/children walk or bike to/from school if this problem were changes or improved? (Select one choice per line)

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* 8. How much fun is walking or biking to/from school for your child/children?

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* 9. How healthy is/would be walking or biking to/from school for your child/children?

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* 11. Would you be interested in volunteering to walk a group of students to or from school? If yes, please include your contact information below.

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Thank you for your participation!