Collect resident feedback on traffic, noise, jobs, safety, and zoning around MFCs. Use this ready-to-send template to inform planning and policy decisions.
What's Included
AI-Powered Questions
Intelligent follow-up questions based on responses
Automated Analysis
Real-time sentiment and insight detection
Smart Distribution
Target the right audience automatically
Detailed Reports
Comprehensive insights and recommendations
Template Overview
21
Questions
AI-Powered
Smart Analysis
Ready-to-Use
Launch in Minutes
This professionally designed survey template helps you gather valuable insights with intelligent question flow and automated analysis.
Sample Survey Items
Q1
Multiple Choice
To the best of your knowledge, is there a micro-fulfillment center (MFC) within about 1 mile of your home?
Yes
No
Not sure
Q2
Dropdown
When did you first notice activity that seems related to an MFC near you?
In the last month
1 to 3 months ago
4 to 12 months ago
Over a year ago
I have not noticed any such activity
Q3
Numeric
About how far is the nearest place you consider an MFC from your home? (miles, approximate)
Accepts a numeric value
Whole numbers only
Q4
Multiple Choice
In the last 30 days, which of the following have you noticed in your area? Select all that apply.
More delivery vans on local streets
Nighttime truck arrivals
Curbside loading/unloading
Noticeable noise from vehicles or loading
Traffic congestion near intersections
Blocked sidewalks or bike lanes
None of the above
Q5
Multiple Choice
Attention check: To confirm you are paying attention, please select "I am paying attention."
I am paying attention
I am not paying attention
Prefer not to answer
Q6
Matrix
Compared with 3 months ago, how, if at all, have the following changed in your immediate area?
Rows
Much worse
Slightly worse
No change
Slightly better
Much better
Don't know/Not applicable
Traffic on residential streets
•
•
•
•
•
•
Parking availability
•
•
•
•
•
•
Noise during daytime
•
•
•
•
•
•
Noise at night
•
•
•
•
•
•
Pedestrian safety
•
•
•
•
•
•
Local air quality
•
•
•
•
•
•
Street cleanliness
•
•
•
•
•
•
Q7
Opinion Scale
Overall, how have MFC-related activities affected your quality of life in the last 3 months?
Range: 1 – 10
Min: Much worseMid: No changeMax: Much better
Q8
Rating
Based on what you know today, how much do you support having an MFC operating within 1 mile of your home?
Scale: 11 (star)
Min: Strongly opposeMax: Strongly support
Q9
Ranking
Rank the following city priorities related to MFCs (top = most important).
Drag to order (top = most important)
Faster, reliable deliveries
Fewer trucks on local streets
Jobs and local hiring
Lower noise levels
Lower emissions/cleaner air
Support for local retail
Keeping prices affordable
Q10
Multiple Choice
Which measures would you support to reduce negative impacts from MFC operations? Select up to 3.
Time-of-day delivery windows
Electric-only delivery zones
Off-street loading requirements
Caps on van trips
Camera enforcement of loading zones
Safer bike/scooter lanes
Community hotline for issues
Regular city inspections
None of the above
Q11
Dropdown
How long have you lived in your current neighborhood?
Less than 6 months
6–12 months
1–3 years
3–5 years
More than 5 years
Q12
Multiple Choice
What type of home do you live in?
Apartment/Condo
Townhouse/Rowhouse
Single-family house
Multi-family building (3+ units)
Q13
Multiple Choice
What is your housing situation?
Rent
Own
Other arrangement
Prefer not to say
Q14
Dropdown
What is your age?
Under 18
18–24
25–34
35–44
45–54
55–64
65 or older
Prefer not to say
Q15
Multiple Choice
What is your gender?
Woman
Man
Non-binary
Prefer not to say
Q16
Multiple Choice
What is your current employment status?
Employed full-time
Employed part-time
Self-employed
Unemployed and looking
Student
Homemaker/caregiver
Retired
Unable to work
Prefer not to say
Q17
Dropdown
What is the highest level of education you have completed?
Some high school or less
High school diploma or equivalent
Some college/Associate
Bachelor's degree
Graduate or professional degree
Prefer not to say
Q18
Short Text
What is your ZIP/postal code? (Optional)
Max 100 chars
Q19
Long Text
What else should the city know about MFC impacts on your block or nearby streets?
Max 600 chars
Q20
AI Interview
AI Interview: 2 Follow-up Questions on Micro-Fulfillment Centers
AI InterviewLength: 2Personality: [Object Object]Mode: Fast
Q21
Chat Message
Thank you for participating—your input will help inform city decisions.
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