Resident Impact Assessment: Micro-Fulfillment Centers
Measures how nearby micro-fulfillment center operations affect residents' quality of life, local environment, and policy preferences. Designed for city planners and community boards seeking structured resident input to guide zoning and operational decisions.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
A micro-fulfillment center (MFC) is a small warehouse used to prepare and dispatch online delivery orders. To the best of your knowledge, is there an MFC operating within about 1 mile of your home?
- Yes
- No
- Not sure
When, if at all, 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
The next questions ask how conditions in your immediate area have changed over the last 3 months. For each item, please indicate whether things have gotten worse, stayed about the same, or improved.
Please rank the following city priorities related to MFCs from most to least important to you.
- Faster, reliable deliveries
- Fewer trucks on local streets
- Jobs and local hiring
- Lower noise levels
- Lower emissions and cleaner air
- Support for local retail
- Keeping prices affordable
Based on your responses in this survey, what else, if anything, should the city know about MFC impacts on your block or nearby streets?
Finally, a few questions about you and your household. These help us understand how MFC impacts may differ across community members.
Thank you for completing this survey. Your input will help inform city planning and policy decisions regarding micro-fulfillment centers in your area. If you have urgent concerns, please contact your local council representative.
Approximately how far is the nearest MFC from your home?
- Less than ¼ mile
- ¼ to ½ mile
- ½ mile to 1 mile
- 1 to 2 miles
- More than 2 miles
- Not sure
Compared with 3 months ago, how has traffic volume on your nearby streets changed?
Which of the following measures, if any, would you support to address 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 per day
- Camera enforcement of loading zones
- Safer bike and scooter lanes
- Community hotline for reporting issues
- Regular city inspections
- None of the above
We'd like to understand your experiences in a bit more depth. An AI moderator will ask you a couple of brief follow-up questions based on your earlier answers.
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
In the last 30 days, which of the following, if any, 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
Compared with 3 months ago, how have noise levels in your area changed?
What type of home do you currently live in?
- Apartment or condo
- Townhouse or rowhouse
- Single-family house
- Multi-family building (3+ units)
- Other (please specify)
Compared with 3 months ago, how has air quality in your area changed?
What is your current housing situation?
- Rent
- Own
- Other arrangement
- Prefer not to say
Compared with 3 months ago, how has pedestrian and cyclist safety in your area changed?
What is your age?
- Under 18
- 18–24
- 25–34
- 35–44
- 45–54
- 55–64
- 65 or older
- Prefer not to say
Compared with 3 months ago, how has parking availability in your area changed?
What is your gender?
- Woman
- Man
- Non-binary
- Prefer to self-describe
- Prefer not to say
Compared with 3 months ago, how has local business activity (e.g., foot traffic to nearby shops) in your area changed?
What is your current employment status?
- Employed full-time
- Employed part-time
- Self-employed
- Unemployed and looking
- Student
- Homemaker or caregiver
- Retired
- Unable to work
- Prefer not to say
Overall, how have MFC-related activities affected your quality of life in the last 3 months?
What is the highest level of education you have completed?
- Some high school or less
- High school diploma or equivalent
- Some college or associate degree
- Bachelor's degree
- Graduate or professional degree
- Prefer not to say
Based on what you know today, to what extent do you support or oppose having an MFC operating within 1 mile of your home?
What is your ZIP or postal code? (Optional)
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.