I

' ,.~,~
SsfC?ty E a u c3t 1on

PRE-EVALUATION
a
1 STUDENTS/YOUNG PEOPLE - KEY DA A ' "'I -11./1""'
V r111" s1~ ~..vr-q-,q V '

Date \ '.2-\\tJ--. \ ?--0 \~f_ School &Class 0 /-,, gpg ·

Age of the young people ~ 4 years O 15-18+ years

Number of girls c£).._ 0 Numberofboys

2. STUDENTS'/YOUNG PEOPLES' ATTITUDES

1. I CROSS THE ROAD AT A SAFE CROSSING POINT

Important: Answers of the girls

1 Please take care
that the total amount Never__Q_ From time to time_Q_Most of the time 1- Always --1.:L
of the single answe rs
corresponds to the
number of young Answers of the boys
people'
2 1 If you are unable
Never__Q_ Fromtimetotime__G_Mostofthetime O Always ll
to answer a
ouestion please
leave the
2. I WEAR A HELMET WHILST RIDING A CYCLE
corresponding
field blank'
Answers of the girls

Never~ T ) From time to time ____l2__Most of the time O Always Q_

Answers of the boys

Never~ Z From time to time_Q_Most of the time _ ___,,,0

"'----Always _""Q__

~
Under t he aegis of
Supported Sy
UNITED FO~
~ ROAD
\- WE11Y
- - --·-
•
1
• ,,
-
r., o • .,
ROAD SAFETY ~ TOTAL
uon unl'"' 'tlwt °' "'""'!Ml 1
~ ~ .,, r A" lN l;tl.!i,,-t 11>

, SURVEY I Pre-Evalua FOUl'-@AT\ON

STUDENTS
 O•M,S . . ,, ·-~~~,~·::·,_.,.i~
--- - .,.L••~
tUDENTS' SURVE~
- - -
~
I
Safe ty ( ducat1on

PRE-EVALUATIO N

I
I
I
I
I
I
I
I
--- - -- - ---
I
I

ln1porta nt : i 3. I USE MY MOBILE PHONE WHILST WALKING, RIDING OR DRIVING

(1) Please take care , !
that the total arnount ' I: Answers of the girls
of the single answers I:
corresponds to the / Never-e:2..Q_ From time to time_Q_Most of the time ----0 Always _Q_
number of young / .
people! /
I
(2) If you are unable II Answers of the boys
I
to answer a II
I
question please III Never4 From time to time___12Most of the timeL Always __,fJ_
leave the I I

corresponding
field blank!
4. I RESPECT THE TRAFFIC LAWS

Answers of the girls

Never_Q_ From time to time~ Most of the time {) Always '<- 0

Answers of the boys
t

Never_Q_ From time to time__Q_Most of the time Q Always ~

\
J

I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I

___________
I
I
I

I
:
:II _;_.-

An Initiative of Under the aegis of supported By

3TUDENTS ' SURVEY I Pre-Evaluation

Bi Unllu Wey of Mun,baJ
UNITED FO~
ROAD SdfETIY
lf1'c., ",,:~O::im
·~'fl ~;'.~;"""
() 1J OTAL
FOUt-{gATION

School: U ' IJ \. -· I \ . .u
r;;:;~: \2. I I'2. 2. 0