15-16 Safe Routes to School Parent/Caregiver Survey

Thank you for taking the time to complete this survey. Your feedback allows us to adjust Safe Routes to School (SRTS) program features to best meet the needs of each individual school.

You may use this form to provide information about one child or more than one child.

Question Title

* 1. School District(s)

Bayshore Elementary

Belmont-Redwood Shores Elementary

Brisbane Elementary

Burlingame

Cabrillo Unified

Hillsborough City Elementary

Jefferson Elementary

Jefferson Union High

La Honda-Pescadero Unified

Las Lomitas Elementary

Menlo Park City Elementary

Millbrae Elementary

Pacifica

Portola Valley Elementary

Ravenswood City Elementary

Redwood City Elementary

San Bruno Park Elementary

San Carlos Elementary

San Mateo-Foster City

San Mateo Union High

Sequoia Union High

South San Francisco Unified

Woodside Elementary

Other (please specify)

Question Title

* 2. School Name(s)

Bayshore Elementary

Robertson Intermediate

Central Elementary

Cipriani Elementary

Fox Elementary

Nesbit Elementary

Ralston Intermediate

Redwood Shores Elementary

Sandpiper Elementary

Brisbane Elementary

Lipman Middle

Panorama Elementary

Burlingame Intermediate

Franklin Elementary (Burlingame)

Lincoln Elementary

Hoover (Burlingame)

McKinley Elementary

Roosevelt Elementary (Burlingame)

Washington Elementary (Burlingame)

Cunha Intermediate

El Granda Elementary

Farallone View Elementary

Half Moon Bay High

Hatch Elementary

Kings Mountain

Pilarcitos Alternative

Crocker Middle

North Hillsborough

South Hillsborough

West Hillsborough

Benjamin Franklin Intermediate (Daly City)

California Virtual Academy @ San Mateo

Daniel Webster

Fernando Rivera Intermediate

Franklin Delano Roosevelt (Daly City)

Garden Village

George Washington (Daly City)

John F. Kennedy (Daly City)

Margaret Pauline Brown

Marjorie H. Tobias

Susan B. Anothony

Thomas Edison

Thomas R. Pollicita Middle

Westlake Elementary

Woodrow Wilson

La Honda Elementary

Pescadero Elementary

Pescadero Middle

Pescadero High

La Entrada Middle

Las Lomitas

Encinal

Hillview

Laurel (Menlo Park)

Oak Knoll

Green Hills

Lomita Park

Meadows

Spring Valley

Taylor Middle

Cabrillo

Ingrid B. Lacy

Ocean Shore

Ortega

Sunset Ridge

Vallemar

Corte Madera

Ormondale

Belle Haven

Brentwood Academy

Costano Elementary

East Palo Alto Charter

Green Oaks/Chavez Academy

Los Robles Magnet Academy

Ronald McNair Intermediate

Willow Oaks

Adelante Spanish Immersion

Clifford

Fair Oaks

Garfield

Hawes

Henry Ford

Hoover

John F. Kennedy (Redwood City)

John Gill

McKinley Institute of Technology (Redwood City)

North Star Academy

Orion Alternative

Roosevelt (Redwood City)

Roy Cloud

Selby Lane

Taft

Allen

Belle Air

Crestmoor

El Crystal

John Muir

Parkside Intermediate (San Bruno)

Portola

Rollingwood

Arundrel

Brittan Acres

Central Middle

Charter Learning Center

Heather

Tierra Linda

White Oaks

Abbott Middle

Audubon

Bayside STEM Academy

Baywood

Beresford

Borel Middle

Bowditch Middle

Brewer Island

College Park

Fiesta Gardens

Foster City Elementary

George Hall

Highlands (San Mateo)

Horrall

Laurel (San Mateo)

Meadow Heights

North Shoreview

Parkside Elementary (San Mateo)

San Mateo Park

Sunnybrae

Alta Loma Middle

Buri Buri

Junipero Serra

Los Cerritos

Martin

Monte Verde

Parkway Heights Middle

Ponderosa

Skyline

Spruce

Sunshine Gardens

Westborough Middle

Woodside Elementary

Other (please specify)

Question Title

* 3. Your Child's/Children's Grade Level(s)

Pre-School

K

1

2

3

4

5

6

7

8

9

10

11

12

Special Education

Other (please specify)