The premise of this study is that complete streets policies lay the foundation for safe and convenient travel for all persons by all modes of transportation. These policies have the potential to yield an increase in opportunities for active transportation and to ultimately improve the health of the communities impacted. WalkWorks, a collaboration of the Pennsylvania Department of Health and the University of Pittsburgh, subscribes to the philosophy that the intent of policy is to enhance outcomes. Specifically, adoption of complete streets policies is among the priorities of WalkWorks, as such policies can provide increased opportunities for physical activity and thereby improve the health of Pennsylvanians. To gain an understanding of the status of complete streets policies, as well as the perceived opportunities and obstacles to adopting and implementing the policies in Pennsylvania, WalkWorks conducted a survey of municipalities that examined the policies adopted to date and interviewed representatives from communities that have adopted policies.