-Smart Walking & Bicycling Workshop Feedback/Survey

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1. Date of workshop: *

YYYY

2. Location: *

3. How often do you currently walk to school with your child(ren)? *

4 or more days a week

2-3 Days a week

1 day per week

A few times per month

I do not walk to school with my child(ren)

4. How often do you currently ride a bike with your child(ren)? (anywhere, not just to school) *

4 or more days a week

2-3 Days a week

1 day per week

A few times per month

I do not ride a bike with my child(ren)

5. Why do you ride a bike with your child? Please check all that apply.

For transportation (school, errands)

For fun

For exercise

Do not ride together yet

I do not ride a bike

6. After this workshop, you will (check all that apply) (optional):

Feel more confident about riding a bicycle with your children

Ride a bicycle more often with your children

Feel more confident about walking to school with your children

Walk to school more often with your children

7. Please circle, on a scale of 1 to 5, how would you rate this workshop? *

Poor

Outstanding

8. What did you like most about the workshop? *

9. What is something you did not like about the workshop? *

The Sonoma County Safe Routes to School program is supported by the Metropolitan Transportation Commission’s One Bay Area Grant Program, Measure M, and Kaiser Permanente Northern California Community Benefit Program.

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