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APPENDIX C: DATA COLLECTION INTRUMENTS
APPENDIX C: DATA COLLECTION INTRUMENTS
SECTION 1 - INTRODUCTION
Dear Parent or Caregiver,
Your child’s school would like to learn your thoughts about students walking and biking to school during a typical year. If your child’s school is currently in distance-learning because of COVID-19, think about what you would do if they were attending classes in person.
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 more than one child attends the same school, please fill out the survey for the child with the next birthday from today's date.
Your responses will be kept confidential and neither your name nor your child’s name will be associated with any results.
School Name: [DROP DOWN MENU]
SECTION 2 - ABOUT YOU
The following questions ask about the demographics of your child and family. They will help us understand if we are reaching a representative sample of the community. The questions are optional, and your answers will remain anonymous.
What is the grade of your child? [DROP DOWN]
What is the gender of your child? • Male • Female • Other • Prefer not to answer
What is the race/ethnicity of your child? (check all that apply) White Hispanic or Latino Black or African American Native American or American Indian Asian Native Hawaiian/Pacific Islander Other Prefer not to say
What is your annual household income? • Less than $25,000 • $25,000 to $50,000 • $50,000 to $75,000 • $75,000 to $125,000 • $125,000 to $200,000 • More than $200,000 • Prefer not to say
Do you speak a language other than English at home? • Yes • No
What language(s) do you speak at home? (check all that apply)
Spanish Hmong Cushite (includes Romo, Somali, Sidamo, and other East African languages) German Vietnamese Chinese (includes Cantonese, Mandarin, and other Chinese languages) French (includes Patois and Cajun) Russian Laotian Arabic Amharic Hindi Kru, Ibo, Yoruba Korean Mon-Khmer, Cambodian Tagalog Telegu Norwegian Ojibwa Karen Swahili Other: _____________________________
What is the street intersection nearest your home? [STREET 1 SHORT ANSWER] and [STREET 2 SHORT ANSWER]
How far does your child live from school? • Less than ¼ mile • ¼ mile to ½ mile • ½ mile to 1 mile • 1 to 2 miles • More than 2 miles • Don’t know
SECTION 3 - SAFE ROUTES TO SCHOOL
This section asks about school travel habits and attitudes towards walking and biking.
If your child’s school is currently in distance-learning because of COVID-19, think about what you would do if they were attending classes in person.
On most days, how does your child travel to and from school? Travel arriving to school • Walk • Bike • School bus • Family vehicle (only children in your family) • Carpool (children from other families) • Transit (city bus, subway, etc.) • Other (skateboard, scooter, inline skates, etc.)
Travel leaving school • Walk • Bike • School bus • Family vehicle (only children in your family) • Carpool (children from other families) • Transit (city bus, subway, etc.) • Other (skateboard, scooter, inline skates, etc.)
Has your child asked you permission to walk or bike to/from school in the last year? • Yes • No
At what grade would you allow your child to walk or bike to/from school without an adult? [DROP DOWN]
Which of the following issues prevent your child from walking or biking to/from school? (check all that apply) Distance between home and school Convenience of driving Time it takes to walk/bike Before or after-school activities Traffic speeds along route Amount of traffic along route Adults to walk or bike with Fear of hate or street harassment based on race, ethnicity, and/or gender identity Other students to walk or bike with Sidewalks or pathways Safety of intersections and crossings Lack of crossing guards/student patrols Bullying Fear of violence or crime Weather or climate School policy discourages/prohibits walking/biking Access to a bike or bike lock Concerns about COVID-19 transmission
What would help your child walk or bike to/from/at school more often? (check all that apply) A group of students to walk or bike with A shorter distance to walk or bike Learning traffic rules and regulations and how to walk/bike safely Safer intersections/crossings An adult to walk or bike with Better/more sidewalks or pathways Walking/biking field trips Incentives, games, or rewards for walking/biking Better snow/ice removal in winter School policy that encourages walking/biking More information about walking and biking routes Less traffic along route Slower car speeds along route Bullying, hate, and harassment prevention and bystander intervention training A school club or after-school program Crossing guards/student patrols/corner captains Access to a bike, bike lock, or secure bike parking Better/more lighting along route Other: _____________________________
How much does your child’s school encourage walking and biking to/from school? • Strongly encourages • Encourages • Neutral • Discourages • Strongly discourages
How much fun is walking or biking to/from school for your child?
• Very fun • Fun • Neutral • Boring • Very boring
How healthy is walking or biking to/from school for your child? • Very healthy • Healthy • Neutral • Unhealthy • Very unhealthy
SECTION 3 - COVID
The following questions ask about how the COVID-19 pandemic has affected your family’s travel habits and physical activity.
How has the COVID-19 pandemic affected your child’s travel/physical activity habits? My child walks... • More often than before • About the same • Less often than before
My child bikes... • More often than before • About the same • Less often than before
My child travels by car… • More often than before • About the same • Less often than before
My child travels by school bus/transit… • More often than before • About the same • Less often than before
Which of the following distance learning/social distancing activities have you participated in? (check all that apply) Walking or biking to get to a destination Walking or biking for recreation (no destination) Temporary street closures for walking/biking Walking/biking distance learning curriculum Other: _____________________________
SECTION 4 - MAP/COMMENTS
To identify specific walking/biking routes, barriers, opportunities, and destinations at your child’s school, visit the interactive project map: [LINK]
Please provide any additional comments below: [LARGE COMMENT BOX]
The online version of the quiz can be found here in English and Spanish respectively: https://www.surveymonkey.com/r/mnsrtscaregiversurvey-en https://es.surveymonkey.com/r/mnsrtscaregiversurvey-es
STUDENT TRAVEL TALLY SURVEY ABOUT WALKING AND BIKING TO SCHOOL
A high-quality and text readable original version of this document can be found at: http://saferoutesdata.org/downloads/SRTS_Two_Day_Tally.pdf
