すべてのテンプレート
Nonprofit & Civic

Neighborhood Sidewalk Accessibility & Condition Assessment

A resident feedback instrument for municipalities and civic organizations to assess sidewalk accessibility, physical condition, ADA barriers, and maintenance priorities. Designed for community-wide distribution to inform walkability planning and repair prioritization.

設問の例

テンプレートの内容をプレビューできます。すべての設問は公開前に自由に編集できます。

全20問・約9分
Q01
メッセージ

Welcome to the Neighborhood Sidewalk Accessibility & Condition Survey. This survey is being conducted to understand residents' experiences with sidewalk accessibility, condition, and maintenance in your area. Your responses will help inform decisions about sidewalk repairs and improvements. Participation is completely voluntary, and you may stop at any time. There are no right or wrong answers — we are interested in your honest opinions and experiences. All responses are confidential and will be reported only in aggregate. The survey takes approximately 6–8 minutes to complete. Thank you for your time.

Q02
選択式

How often do you use sidewalks near where you live?

  • Daily
  • A few times a week
  • About weekly
  • About monthly
  • Rarely/Never
Q03
オピニオンスケール

Overall, how accessible are sidewalks in your area?

スケール: 1 – 5
最小:Not at all accessible最大:Extremely accessible
Q04
ランク付け

Please rank the following potential sidewalk improvements from highest to lowest priority.

  1. Fix uneven or broken pavement
  2. Add or repair curb ramps
  3. Improve snow and ice clearance
  4. Ensure safe detours around construction
  5. Trim vegetation and keep sidewalks clear
  6. Widen narrow sidewalk segments
  7. Improve lighting along sidewalks
ドラッグして順位を付ける
Q05
AIインタビュー

Based on your responses throughout this survey, please share any additional thoughts or experiences about sidewalk accessibility and upkeep in your area. Our AI moderator may ask a brief follow-up question to better understand your perspective.

Q06
選択式

What is your age group?

  • 17 or under
  • 18–24
  • 25–34
  • 35–44
  • 45–54
  • 55–64
  • 65 or older
  • Prefer not to say
Q07
メッセージ

Thank you for completing this survey. Your feedback will be used to help prioritize sidewalk improvements in our community. If you have urgent sidewalk safety concerns, please contact your local public works department directly.

Q08
選択式

What are your main reasons for using sidewalks? Select all that apply.

  • Commuting to work or school
  • Exercise or recreation
  • Errands or shopping
  • Accessing public transit
  • Leisure walks with family or pets
  • Accessing healthcare or services
  • Other (please specify)
Q09
選択式

In the past 3 months, which of the following sidewalk issues have you personally encountered? Select all that apply.

  • Cracked, uneven, or broken pavement
  • Missing or damaged curb ramps
  • Sidewalks too narrow for comfortable use
  • Overgrown vegetation blocking the path
  • Poor lighting along sidewalks
  • Standing water or drainage problems
  • Lack of tactile or visual accessibility cues
  • No sidewalk available on my route
  • None of the above
Q10
選択式

In the past 12 months, how have you reported sidewalk issues, if at all? Select all that apply.

  • 311 or mobile app
  • City website form
  • Phone or email to city offices
  • In person at a city office or meeting
  • Social media
  • Neighborhood association or community group
  • I have not reported any sidewalk issues
Q11
選択式

How do you describe your gender?

  • Woman
  • Man
  • Non-binary
  • Prefer to self-describe
  • Prefer not to say
Q12
選択式

When traveling on sidewalks, do you use any of the following? Select all that apply.

  • Cane
  • Crutches
  • Walker
  • Manual wheelchair
  • Power wheelchair or scooter
  • Stroller
  • White cane or low-vision aid
  • Other mobility aid
  • None of the above
Q13
選択式

Last winter, how often were sidewalks near you cleared within 24 hours after snow or ice?

  • Always
  • Often
  • Sometimes
  • Rarely
  • Never
  • Not applicable (no snow/ice in my area)
Q14
自由回答(長文)

If you feel comfortable, please name the nearest intersection or block where you frequently experience sidewalk issues. Avoid sharing exact addresses or personal details.

Q15
選択式

Which of the following best describes the area where you live?

  • Urban core or downtown
  • Suburban area
  • Small town
  • Rural area
  • Outside the city limits
  • Prefer not to say
Q16
オピニオンスケール

In the past 3 months, how often did you encounter blocked sidewalks (e.g., due to construction, parked vehicles, or equipment)?

スケール: 1 – 5
最小:Never最大:Very often
Q17
選択式

What is the highest level of education you have completed?

  • Less than high school
  • High school or equivalent
  • Some college or associate degree
  • Bachelor's degree
  • Graduate or professional degree
  • Prefer not to say
Q18
オピニオンスケール

How safe do you feel using sidewalks in your area during the daytime?

スケール: 1 – 5
最小:Not at all safe最大:Extremely safe
Q19
選択式

What is your current employment status?

  • Working full-time
  • Working part-time
  • Self-employed
  • Student
  • Homemaker or caregiver
  • Retired
  • Unemployed
  • Unable to work
  • Prefer not to say
Q20
オピニオンスケール

How safe do you feel using sidewalks in your area after dark?

スケール: 1 – 5
最小:Not at all safe最大:Extremely safe

含まれる機能

  • AIによる深掘り

    自由回答に合わせてAIが追加で質問し、固定のフォームでは拾えない具体的な内容を引き出します。

  • 注意確認設問

    急いだ回答や質の低い回答者を除外する仕組みを標準で備えています。

  • AIが作成する設問文

    文言、設問の順序、条件分岐をAIが調査の目的に合わせて作成します。

  • 自動レポート

    回答が集まると、テーマ、引用、わかりやすい要約が自動で作成されます。

他ツールとの比較

ほかのアンケートツールで最も近いテンプレートを調べました。それぞれの優れている点と、このテンプレートがさらに踏み込んでいる点をまとめています。

このテンプレートを選ぶ理由

  • Includes dedicated opinion-scale questions on daytime and after-dark safety perceptions, plus accessibility rating, giving planners nuanced quantitative data beyond generic satisfaction scores
  • Captures specific ADA-relevant barriers through multi-select issue checklists (blocked sidewalks, snow clearance timing, personally encountered problems) rather than open-ended complaints alone
  • Includes a ranking exercise for prioritizing potential sidewalk improvements, directly supporting repair/budget prioritization decisions
  • Closes with an AI follow-up interview that adapts to each respondent's prior answers, surfacing specifics (like exact intersections or recurring hazards) that fixed-form tools cannot probe for

SurveyMonkey

Neighborhood Feedback Survey Template

This is a general neighborhood feedback template rather than one focused specifically on sidewalk accessibility, ADA barriers, or maintenance prioritization. It's a ready-to-field static form suitable for broad community sentiment gathering, but lacks the infrastructure-specific depth (winter snow clearance, blocked sidewalk frequency, ADA-oriented barrier tracking) built into a sidewalk-focused instrument.

優れている点

  • Backed by SurveyMonkey's established survey distribution and analytics infrastructure
  • Quick to deploy for general community sentiment
  • Likely customizable with SurveyMonkey's standard question library

物足りない点

  • Fixed question set with no adaptive follow-up probing to unpack why a resident feels sidewalks are unsafe or inaccessible
  • No mention of ADA-specific accessibility barrier tracking, winter maintenance timing, or improvement-prioritization ranking
  • No mechanism (like an AI interview) to gather rich qualitative detail on specific problem locations at scale

よくあるご質問

「Neighborhood Sidewalk Accessibility & Condition Assessment」テンプレートにはどのような設問が含まれていますか?

すぐに使える設問が20問含まれており、最初の設問は次のとおりです:「Welcome to the Neighborhood Sidewalk Accessibility & Condition Survey. This survey is being conducted to understand res…」・「How often do you use sidewalks near where you live?」・「Overall, how accessible are sidewalks in your area?」。すべての設問は上でプレビューでき、自由に編集できます。

このアンケートの回答にはどのくらい時間がかかりますか?

回答者は通常、20問を約9分で回答し終えます。

テンプレートは編集できますか?

はい。公開前であれば、すべての設問、選択肢、順序を編集できます。設問の追加や削除のほか、調査の目的に合わせた作り直しをAIエディターに依頼することもできます。

このテンプレートは無料で使えますか?

はい。エディターで開けば、すぐに編集を始められます。お試しにアカウントは不要で、無料プランでアンケートを公開できます。

公開の準備はできましたか?

このテンプレートをエディターで開いてみてください。最初の回答者が目にする前に、すべてを自由に変更できます。

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