Q01
Long Text
All templates
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.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
20 questions · ~4 min
Q02
Multiple Choice
How often do you use sidewalks near where you live?
Q03
Long Text
Overall, how accessible are sidewalks in your area?
Q04
Long Text
Please rank the following potential sidewalk improvements from highest to lowest priority.
Q05
AI Interview
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
Multiple Choice
What is your age group?
Q07
Long Text
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
Multiple Choice
What are your main reasons for using sidewalks? Select all that apply.
Q09
Multiple Choice
In the past 3 months, which of the following sidewalk issues have you personally encountered? Select all that apply.
Q10
Multiple Choice
In the past 12 months, how have you reported sidewalk issues, if at all? Select all that apply.
Q11
Multiple Choice
How do you describe your gender?
Q12
Multiple Choice
When traveling on sidewalks, do you use any of the following? Select all that apply.
Q13
Multiple Choice
Last winter, how often were sidewalks near you cleared within 24 hours after snow or ice?
Q14
Long Text
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
Multiple Choice
Which of the following best describes the area where you live?
Q16
Long Text
In the past 3 months, how often did you encounter blocked sidewalks (e.g., due to construction, parked vehicles, or equipment)?
Q17
Multiple Choice
What is the highest level of education you have completed?
Q18
Long Text
How safe do you feel using sidewalks in your area during the daytime?
Q19
Multiple Choice
What is your current employment status?
Q20
Long Text
How safe do you feel using sidewalks in your area after dark?
What’s included
AI follow-ups
Adaptive probes on open-ended answers that pull out detail a static form would miss.
Attention checks
Built-in safeguards against rushed answers and low-quality respondents.
AI-drafted copy
Wording, ordering, and branching written by the AI — tuned to your research goal.
Auto report
Themes, quotes, and a plain-English summary write themselves once responses come in.
Ready to launch?
Open this template in the editor. Every part is yours to change before the first respondent sees it.