Student Road Safety Survey
Help us understand and improve road safety for students. Please answer the questions below about your experiences and opinions.
Your Full Name
*
First Name
Last Name
Grade Level
*
Please Select
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Other
How do you usually travel to and from school?
*
Walk
Bicycle
School Bus
Car (with parent/guardian)
Public Transportation
Other
Have you ever experienced or witnessed a road safety incident (such as a near-miss or accident) on your way to or from school?
*
Yes
No
How safe do you feel on your way to and from school?
*
1
2
3
4
5
Please indicate how often you do the following when traveling to and from school:
*
Rows
Always
Sometimes
Never
Look both ways before crossing the street
1
2
3
Use a crosswalk or pedestrian bridge
4
5
6
Wear a helmet when cycling
7
8
9
Follow traffic signals and signs
10
11
12
Avoid using mobile devices while walking
13
14
15
Are there any specific locations near your school that you consider dangerous for students?
*
Yes
No
If you answered 'Yes' above, please describe the location(s) and what makes them dangerous.
In your opinion, what are the main causes of road safety issues near your school? (Select all that apply)
*
Speeding vehicles
Lack of crosswalks or signals
Poor visibility (e.g., lighting, obstructions)
Distracted pedestrians
Insufficient signage
Other
How would you rate the effectiveness of road safety education provided at your school?
*
Not effective
1
2
3
4
Very effective
5
1 is Not effective, 5 is Very effective
Do you have any suggestions or comments to improve road safety for students at your school?
Submit Survey
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