Q01
Long Text
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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.
28 questions · ~4 min
Q02
Multiple Choice
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?
Q03
Long Text
When, if at all, did you first notice activity that seems related to an MFC near you?
Q04
Long Text
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.
Q05
Long Text
Please rank the following city priorities related to MFCs from most to least important to you.
Q06
Long Text
Based on your responses in this survey, what else, if anything, should the city know about MFC impacts on your block or nearby streets?
Q07
Long Text
Finally, a few questions about you and your household. These help us understand how MFC impacts may differ across community members.
Q08
Long Text
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.
Q09
Long Text
Approximately how far is the nearest MFC from your home?
Q10
Long Text
Compared with 3 months ago, how has traffic volume on your nearby streets changed?
Q11
Multiple Choice
Which of the following measures, if any, would you support to address impacts from MFC operations? Select up to 3.
Q12
AI Interview
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.
Q13
Long Text
How long have you lived in your current neighborhood?
Q14
Multiple Choice
In the last 30 days, which of the following, if any, have you noticed in your area? Select all that apply.
Q15
Long Text
Compared with 3 months ago, how have noise levels in your area changed?
Q16
Multiple Choice
What type of home do you currently live in?
Q17
Long Text
Compared with 3 months ago, how has air quality in your area changed?
Q18
Multiple Choice
What is your current housing situation?
Q19
Long Text
Compared with 3 months ago, how has pedestrian and cyclist safety in your area changed?
Q20
Long Text
What is your age?
Q21
Long Text
Compared with 3 months ago, how has parking availability in your area changed?
Q22
Multiple Choice
What is your gender?
Q23
Long Text
Compared with 3 months ago, how has local business activity (e.g., foot traffic to nearby shops) in your area changed?
Q24
Multiple Choice
What is your current employment status?
Q25
Long Text
Overall, how have MFC-related activities affected your quality of life in the last 3 months?
Q26
Long Text
What is the highest level of education you have completed?
Q27
Long Text
Based on what you know today, to what extent do you support or oppose having an MFC operating within 1 mile of your home?
Q28
Long Text
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.