Walk Safely To School Day
Walk To Work DayWalk Safely To School Day
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Your feedback is very important to us. EVEN IF YOU DID NOT PARTICIPATE IN WALK SAFELY TO SCHOOL DAY, WE WOULD HIGHLY VALUE YOUR FEEDBACK. Please complete this short questionnaire and respond by May 2010.
All information is confidential. Your school will not be identified in data analysis or any report.

CLICK HERE to download this form to print which you can fax or post.
School Name:
(please tick)
Government School:    Independent School:    Catholic School:   
Region: School Code:
OR
Diocese:		 Post Code:
Q1. Approximately how many students from Years K to 6 are enrolled in your school this year?
Students
Q2. Approximately how many students in your school usually walk to school?
Students  Don't know
Q3. Did your school participate in the WSTSD 2008?
Yes
(go Q.4)		 No
(go Q.11)		 Don't know
(go Q.11)
Q4. Approximately how many students participated in the WSTSD, 2009?
Students  Don't know
Q5. Which year groups participated?
All year levelsK  Yr1  Yr2  Yr3  Yr4  Yr5  Yr6
Q6. Approximately how many parents participated in WSTSD, 2009?
Parents  Don't know
Q7. Do you think the Walk Safely to School Day has influenced children in your school to walk to school in the future?
Yes No Don't know
Q8. Please tick which activities were undertaken with students for WSTSD 2009
School assembly on road safety issues
Students practise road safety skills
Excursion in school neighbourhood
Display of photos or posters
Walking or other physical activity sessions
Other, please specify
 
Q9. What did you think of the WSTSD resources (as supplied to your school by the PCA) (please tick one)
Very good
Good
Below average
Poor
Q10. Can you suggest improvements to these resources.
Q11. Did your school take part in WSTSD last year?
Yes No Don't know
Q12. Will your school take part in WSTSD next year?
Yes No Don't know
Q13. Does your school have an Active Transport Policy? (ie, a written policy that supports, encourages and promotes children's opportunities to walk or cycle to or from school)
Yes No Don't know
Q14. Which of the following strategies does your school currently use in support of children's walking to school? (please tick all that apply)
No formal or organised strategies
Teaching children about road safety skills
Mapping safe routes to school
Liaising with local government to provide support for children's walking to school
Encouraging or assisting parents to advocate to local government for safe routes to school
Provision of school drop-off zones a walkable distance from school (ie 500m-1km)
Restricted car parking close to the school
Walking School Bus
Safe Routes to School
Early school finish times for children walking home from school
Walking excursions in the school neighbourhood
"Kids - Go for your life" or other state initiatives
Other, please specify
 
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