Safe Routes to School Survey
Our school community is working with Lane County and the Oregon Department of Transportation’s Safe Routes to School Program to improve streets near the school, to help families get to school more safely whether they’re on foot, bicycle, bus, or car. Safe Routes to School programs helps create safe, convenient, and fun opportunities for children to walk, bike and roll to and from school.

Help us better serve your family’s needs by completing this 5-minute survey about travel choices and safety. Your participation will help us improve our communities’ options for getting children to and from school. Thank you for your time! 

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What city do you live in? *
What grade is your student(s) in?
*
How far does your student live from school?
*
How did your child (children) travel TO school last week? Mark the mode this student used for each day of the week.
*
Monday
Tuesday
Wednesday
Thursday
N/A
Walk
Bike
School Bus
Family Vehicle
Carpool
Other
How did your child (children) travel FROM school last week? Mark the mode this student used for each day of the week.
*
Monday
Tuesday
Wednesday
Thursday
N/A
Walk
Bike
School Bus
Family Vehicle
Carpool
Other
Do you allow this student to travel to school in the following ways? Mark you response for each mode.
*
No
Yes, by themselves
Yes, with a friend or sibling
Yes, with a trusted adult
Walk
Bike
School Bus
Family Vehicle
Carpool
Other
How strongly do you agree or disagree with the following statements:
*
Strongly agree
Agree
Neither
Disagree
Strongly disagree
Walking/biking to school is fun for my student
Walking/biking to school is healthy for my student
Walking/biking to school is encouraged by my student's school
Walking/biking to school is something I wish we did more often
What concerns limit your child's ability to walk or bike to/from school? (please select up to three concerns)
*
Required
Are you interested in learning more about volunteering with Safe Routes to Schools?
*
Would you like to be entered into a drawing to win a safety-oriented prize?
*
If you replied yes to either of the above questions, please provide your name and contact information name and email address.
*
Do you have any other comments or feedback on transportation to your school?
THANK YOU FOR YOUR TIME!!!!!
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