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High School Bike Projects

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Appendix A: Baseline hands-up classroom survey<br />

Teacher: _____________________________________________.Room #: ______________.Date: _________________________<br />

Total number of students in class: ____________ .Grade: __________<br />

How did students travel TO school?<br />

Ask: “How did you travel TO school this morning?” Ask each mode separately and fill in the number of<br />

students (one mode per student).<br />

Mon<br />

Tues<br />

Wed<br />

Thurs<br />

Fri<br />

Total<br />

Average<br />

Walk <strong>Bike</strong> <strong>Bike</strong><br />

Part<br />

Way<br />

<strong>School</strong><br />

Bus<br />

Public<br />

Transit<br />

Car Carpool Other Total<br />

How did students travel FROM school?<br />

Mon<br />

Tues<br />

Wed<br />

Thurs<br />

Fri<br />

Total<br />

Average<br />

Walk <strong>Bike</strong> <strong>Bike</strong><br />

Part<br />

Way<br />

<strong>School</strong><br />

Bus<br />

Public<br />

Transit<br />

Car Carpool Other Total<br />

If students came by another mode, indicate Other: _______________________________________________________<br />

If they combined any other mode with cycling, they count as ‘<strong>Bike</strong> Part Way’.<br />

38<br />

The Ten Step Handbook for <strong>High</strong> <strong>School</strong> <strong>Bike</strong> <strong>Projects</strong>

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