Parent Survey About Walking and Biking to School
Dear Parent or Caregiver,

Your child's school wants to learn your thoughts about children walking and biking to school. This survey will take about 5 - 10 minutes to complete. We ask that each family complete only one survey per school your children attend. If you have more than one child, please fill out the survey for the oldest child up to 8th grade.

Your responses will be kept confidential and neither your name nor your child's name will be associated with any results. Thank you for participating in this survey!

Sign in to Google to save your progress. Learn more
School Name *
What is the grade of your oldest child (up to the 8th grade)?
Is the child who brought home this survey male or female?
Clear selection
How many children do you have in Kindergarten through 8th grade?
What is the street intersection nearest your home? (Provide the names of two intersecting streets)
How far does your child live from school?
Clear selection
On most days, how does your child arrive to school? (Select one)
Clear selection
On most days, how does your child leave school? (Select one)
Clear selection
Travel Time to School: How long does it normally take your child to get to school?
Clear selection
Travel Time From School: How long does it normally take your child to get home from school?
Clear selection
Has your child asked you for permission to walk or bike to/from school in the last year?
Clear selection
At what grade would you allow your child to walk or bike to/from school without an adult?
What of the following issues affected your decision to allow, or not allow, your child to walk or bike to/from school? (Select ALL that apply)
If your child does NOT currently walk or bike to school, please answer the following question. Would you probably let your child walk or bike to/from school if any of the below problems were changed or improved? (Select one choice per line)
Yes
No
Not Sure
Distance
Convenience of driving
Time
Child's before or after-school activities
Speed of traffic along route
Amount of 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
In your opinion, how much does your child's school encourage or discourage walking and biking to/from school?
Clear selection
How much fun is walking or biking to/from school for your child?
Clear selection
How healthy is walking or biking to/from school for your child?
Clear selection
What is the highest grade or year of school you completed?
Clear selection
Please provide any additional comments below.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms