Kids questionnaire

We want to find out what children think about road safety so that we can help make roads as safe as possible. You can help us do this by answering a few simple questions. All you need to do is tick the boxes below that match your feelings.

You can even e-mail this page to a friend so they can join in..


01. What is your country of residence?     
 

02. How old are you?
  9 and under 10 - 13 14 - 16

03. Are you:
  A boy A girl

04. Where do you live?
  A large city A smaller town A village

05. Have you ever learnt first aid?
  Yes No Don't know
  If you answered "yes" to question 5, where did you learn first aid?
  At school
  With a youth organisation (e.g. Scouts)
  At a sports club
  From parents or friend
  At the Red Cross
  Other

06. How safe do you think the following forms of transport are?
    Very dangerous Dangerous Safe Very safe
  Car
  Bus
  Tram
  Train
  Bicycle
  Walking

07. How often do you?
    Always Sometimes Never      
  Wear a helmet when riding a bicycle   I do not ride a bicycle
  Wear a seatbelt in a car   I do not travel in cars
  Look both ways before crossing the road      
  Cross at crossings      
  Wear reflective clothing at night      

08. How do you get to school?
  Walk Car Bus Train Tram Bicycle Other

09. Do you feel safe travelling to and from school?
  Yes No

    Yes No
 10. Have you ever been injured in a road accident?
  If yes: Did you have to go to hospital?
  If yes: Did you have to stay at least one night in hospital?

 11. Do you agree with the following statements? Yes No
  I would like the roads in my country to be safer
  I would like to know more about road safety
  I would like to know more about first aid

 12. What do you think would make roads safer?
 

  E-mail to a friend
  Friend's name
  Friend's e-mail
  Your name
  Your e-mail
  Message