SAFE ROUTES TO SCHOOL PARENT SURVEY 

Dear Parents, 

The Safe Routes to School Program for Strawberry Hill Avenue is to enable schools, Grades K-8,
and communities to make physical improvements (sidewalks, crosswalks, traffic signals, traffic 
calming, signs, bicycle lanes, etc.!), in order to provide safer walking and bicycling
conditions for students. 

In order to identify areas for future grant applications, we need to receive as much feedback
as possible so that we can have a clear view of the improvements needed at City schools to 
provide safer routes to schools.  The purpose of this survey is to get your input on these 
matters, In order to compile accurate results, we are asking for as many parents as possible 
to fill out the survey and return it or mail it to the school. You may be assured the complete 
confidentiality of your answers!! 

Feel free to the Department of Public Works at 854-7791 with any questions or concerns about 
this program and survey.

Thank you for your assistance, 

Sincerely, 

Department of Public Works
________________________________________________________________________________________

1. Please provide the gender and grade of each of your children attending our schools. 

Gender (circle) M  F 		Gender (circle) M  F		Gender (circle) M  F
Grade ______			Grade 	_______			Grade _______ 

2. In your opinion, do you live within walking distance to the school? (circle one) Yes	No 

3. About how far do you live from the school? (circle closest answer) 
a. 1/2 mile or less 		b. 1/2 mile to a mile 
c. between I and 1-1/2 miles 		d. over 1-1/2 miles 

4. How does/do your child/ren usually get to school each morning? (circle) 
a. Bus 				b. Car				c. Car Pool
d. Walk  			e. Bike		  		f. Other (please list) 

5. If your child/ren walk or bike to school, please list the primary streets they use 
to get to and from school. List Streets: 


6. How do you feel about the following statements pertaining to the walking and biking 
conditions in your neighborhood?
	SA		MA 		N		MD 		SD
	Strongly 	Mildly 		No 		Mildly 		Strongly
	Agree 		Agree 		Opinion 	Disagree 	Disagree
	
	a. 	There are too many high-speed vehicles in my neighborhood. 					
	b. 	There are high amounts of vehicle traffic in my neighborhood, 					
	c. 	There are broken sidewalks or sidewalk gaps  in my neighborhood. 					
	d. 	There is poor lighting in my neighborhood. 					
	e. 	There are not enough crosswalks in my neighborhood. 					
	f. 	There are not enough crossing guards in my neighborhood 					
	g. 	It is dangerous to walk or bike to our school via sidewalks and roads. 					
	h. 	I feel comfortable having my child/ren walk or bike to school 					
	
	i. Please write below any additional factors that describe your neighborhood's 
	   walking and biking conditions, Please list specific locations where poor conditions
	   exist. Feel free to attach additional pages for your response as needed.
	   List Streets:

7. How important are the following factors in deciding to allow you child to walk or? 
	Very			Somewhat		Not
	Important 		Important		Important
	a. 	Crossing guards or signalized pedestrian crossings at all busy intersections
	b. 	Continuous sidewalks from your house to the school
	c. 	Clearly marked walking and bicycling routes (with signs)
	d. 	Slower traffic in the neighborhood
	e. 	Better lighting
	f. 	Designated safe houses (safer community)
	g. 	Increased Police presence in the neighborhood
	h. 	Secure places to park bicycles (bike racks)
	i. 	School education programs on walking and biking safety
	
	j. Please write below any additional factors that influence your decision to allow 
	   your child to walk or bicycle to school. Feel free to attach additional pages 
	   for your response as needed. 



Please return this survey to:  Your student's teacher

Thank you for your help and support! 

If you have any questions about this survey please call Norwalk Public Works at 203-854-7791.