Did you complete the BikeSafe curriculum at a school or park?* must provide value
School
Park
Year* must provide value
2016-2017 2017-2018 2018-2019 2019-2020 2020-2021 2021-2022 2022-2023 2023-2024 2024-2025 2025-2026 2026-2027 2027-2028 2028-2029 2029-2030
County* must provide value
Alachua Baker Bay Bradford Brevard Broward Calhoun Charlotte Citrus Clay Collier Columbia DeSoto Dixie Duval Escambia Flagler Franklin Gadsden Gilchrist Glades Gulf Hamilton Hardee Hendry Hernando Highlands Hillsborough Holmes Indian River Jackson Jefferson Lafayette Lake Lee Leon Levy Liberty Madison Manatee Marion Martin Miami-Dade Monroe Nassau Okaloosa Okeechobee Orange Osceola Palm Beach Pasco Pinellas Polk Putnam Santa Rosa Sarasota Seminole St. Johns St. Lucie Sumter Suwannee Taylor Union Volusia Wakulla Walton Washington
School Board Region* must provide value
North Region Central Region South Region
Park Name* must provide value
School Name* must provide value
Title/Position* must provide value
Name* must provide value
Email* must provide value
Did you receive training on how to implement the BikeSafe curriculum?* must provide value
Yes
No
Did you train anyone else at your school to implement the BikeSafe curriculum?* must provide value
Yes
No
Did you train any other staff members at your camp?
* must provide value
Yes
No
How many counselors at your camp participated in teaching the BikeSafe curriculum?* must provide value
How many teachers at your school participated in teaching the BikeSafe curriculum?* must provide value
What was the total number of campers who participated in the BikeSafe educational component at your camp?* must provide value
How many students with disabilities participated in the BikeSafe program at your camp?* must provide value
6th Grade* must provide value
7th Grade* must provide value
8th Grade* must provide value
How many students in OTHER GRADES (K-5) participated in the BikeSafe curriculum?
Please provide the number.
Total Students View equation
This field is automatically calculated and does not require manual entry.
Please select all of the days you implemented from the BikeSafe curriculum* must provide value
Day 1
Day 2
Day 3
Day 4
Share the Road Component
Which of the following BikeSafe curriculum stations were implemented?* must provide value
Station 1
Station 2
Station 3
Station 4
Station 5
Station 6
Share the Road Component
On what day did you teach the curriculum at your camp?* must provide value
Today M-D-Y
Day 1 Date* must provide value
Today M-D-Y
Day 2 Date* must provide value
Today M-D-Y
Day 3 Date* must provide value
Today M-D-Y
Day 4 Date* must provide value
Today M-D-Y
Share the Road Date* must provide value
Today M-D-Y
Did your school incorporate the optional on-bike Day 5 by doing a Bike to School Day or Bike Rodeo activity?* must provide value
Yes
No
Would you like BikeSafe's assistance in planning a Bike to School Day or Bike Rodeo?* must provide value
Yes
No
Was the curriculum designed at an appropriate learning level for your campers?* must provide value
Yes
No
Was the curriculum designed at an appropriate learning level for your students?* must provide value
Yes
No
If no, please explain* must provide value
Was the amount of information contained in each station/lesson appropriate for your campers?* must provide value
Yes
No
Was the amount of information contained in each station/lesson appropriate for your students?* must provide value
Yes
No
If no, please explain* must provide value
Were the lesson plans and counselor instructions easy to follow?* must provide value
Yes
No
Were the lesson plans easy to follow?* must provide value
Yes
No
If no, please explain* must provide value
Were the lessons designed appropriately for a camp?* must provide value
Yes
No
If no, please explain* must provide value
Were the materials provided to you sufficient to teach the curriculum?* must provide value
Yes
No
If no, please explain* must provide value
Would you be willing to teach this curriculum again?* must provide value
Yes
No
If no, please explain* must provide value
How did you learn about the BikeSafe curriculum?* must provide value
Parks and Recreation Department
Community Event
BikeSafe website
BikeSafe Staff
Youtube/Social Media
Word of mouth
Online
Other
How did you learn about the BikeSafe curriculum?* must provide value
Contacted through School District
School Administration
BikeSafe website
BikeSafe Staff
Youtube/Social Media
Word of mouth
Online
Other
Other:* must provide value
Please provide any feedback that you feel would help improve the BikeSafe curriculum: