Q01
Long Text
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Micro-Fulfillment Center Neighborhood Impact Survey
Measures resident perceptions of how micro-fulfillment delivery hubs affect traffic, noise, safety, jobs, and quality of life, providing evidence for local planning, zoning, and permitting decisions.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
24 questions · ~4 min
Q02
Multiple Choice
Before today, were you aware of a micro-fulfillment center operating within about 1 mile of your home?
Q03
Multiple Choice
In the past 30 days near your home, which of the following have you noticed? Select all that apply.
Q04
Long Text
The next questions ask how micro-fulfillment centers have affected specific aspects of your neighborhood. If you have not noticed any effect, please select the midpoint.
Q05
Long Text
Overall, how supportive are you of having a micro-fulfillment center operate within one mile of your home?
Q06
Multiple Choice
Which measures would you most prefer the city require of micro-fulfillment center operators? Select up to three.
Q07
Long Text
Based on your responses in this survey, please share any specific experiences, places, or times from the past 6 months that illustrate how micro-fulfillment centers have affected your street or neighborhood. (Optional)
Q08
Multiple Choice
What is your age group?
Q09
Long Text
Thank you for participating. Your input will help inform thoughtful, evidence-based local planning and policy decisions.
Q10
Long Text
To the best of your knowledge, approximately how close is the nearest micro-fulfillment center to your home?
Q11
Long Text
In the past 30 days, how often have you seen delivery vehicles (vans, trucks, cargo bikes) on your block?
Q12
Long Text
In your view, how have micro-fulfillment centers affected traffic flow in your neighborhood?
Q13
Long Text
Taking everything into account, do you believe micro-fulfillment centers are a net positive or a net negative for your neighborhood?
Q14
AI Interview
We'd like to learn more about your personal experiences with micro-fulfillment centers in your neighborhood. A short AI-guided conversation will follow up on your earlier answers.
Q15
Multiple Choice
How do you describe your gender?
Q16
Long Text
In your view, how have micro-fulfillment centers affected noise levels in your neighborhood?
Q17
Multiple Choice
What is your current housing situation?
Q18
Long Text
In your view, how have micro-fulfillment centers affected local job opportunities in your neighborhood?
Q19
Long Text
What is the highest level of education you have completed?
Q20
Long Text
In your view, how have micro-fulfillment centers affected pedestrian and cyclist safety in your neighborhood?
Q21
Long Text
What is your current employment status?
Q22
Long Text
In your view, how have micro-fulfillment centers affected air quality in your neighborhood?
Q23
Long Text
In which city or region do you live? (Optional)
Q24
Long Text
In your view, how have micro-fulfillment centers affected the overall character and feel of your neighborhood?
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.