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Nonprofit & Civic

Resident Micromobility Safety & Parking Perceptions Survey

A civic research instrument for municipalities to assess resident perceptions and experiences with e-scooter and e-bike safety, parking compliance, and enforcement preferences. Suitable for both micromobility users and non-users.

Sample questions

A preview of what’s in the template. Every question is editable before you launch.

33 questions · ~14 min
Q01
Message

Welcome, and thank you for taking part in this survey. Your responses will help the city understand how residents experience micromobility (e-scooters, e-bikes, and similar devices) and identify opportunities to improve safety, parking, and enforcement. This survey takes approximately 14 minutes. Participation is voluntary—you may skip any question or stop at any time. There are no right or wrong answers; we are interested in your honest opinions. Your responses are confidential and will be reported only in aggregate. Please click Next to begin.

Q02
Multiple Choice

Where do you primarily live?

  • Within this city/municipality
  • In a neighboring community
  • I visit for work, school, or leisure but do not live here
  • Prefer not to say
Q03
Multiple Choice

In the last 12 months, have you used an e-scooter, e-bike, or similar micromobility device in this city at least once?

  • Yes
  • No
Q04
Opinion Scale

Based on what you have seen or heard in the last 3 months, how safe do you think micromobility is in this city?

Scale: 17
Min:Very unsafeMax:Very safe
Q05
Multiple Choice

In the last 30 days, how often have you seen e-scooters or e-bikes parked in ways that block sidewalks, ramps, or doorways?

  • Very often
  • Often
  • Sometimes
  • Rarely
  • Never
Q06
Opinion Scale

To what extent do you support or oppose the city issuing fines for e-scooters or e-bikes that block sidewalks or ramps?

Scale: 17
Min:Strongly opposeMax:Strongly support
Q07
AI Interview

We would like to learn more about your experiences with micromobility in this city. Please share your thoughts and our AI moderator will ask a couple of follow-up questions based on your responses.

Q08
Dropdown

What is your age?

  • Under 18
  • 18–24
  • 25–34
  • 35–44
  • 45–54
  • 55–64
  • 65 or older
  • Prefer not to say
Q09
Message

Thank you for completing this survey. Your input will help inform safer, more accessible micromobility policies in this city.

Q10
Multiple Choice

How do you usually get around in this city? Select all that apply.

  • Walk
  • Public transit
  • Drive myself
  • Ride as a passenger
  • Micromobility (e-scooter/e-bike)
  • Taxi or ride-hail
  • Wheelchair or mobility device
  • Other
Q11
Multiple Choice

Which of the following have you used in this city in the last 12 months? Select all that apply.

  • Shared e-scooter
  • Shared e-bike
  • Personal e-scooter
  • Personal e-bike
  • Conventional bicycle
  • Other
  • None of the above
Q12
Opinion Scale

If you have ridden a micromobility device in this city in the last 3 months, how safe did you feel overall?

Scale: 17
Min:Not at all safeMax:Very safe
Q13
Multiple Choice

How clear are the city's current rules about where e-scooters and e-bikes may be parked?

  • Very clear
  • Somewhat clear
  • Somewhat unclear
  • Very unclear
  • I am not aware of any rules
Q14
Opinion Scale

To what extent do you support or oppose setting speed limits for e-scooters and e-bikes in pedestrian areas?

Scale: 17
Min:Strongly opposeMax:Strongly support
Q15
Long Text

Based on your responses in this survey, do you have any additional suggestions for improving micromobility safety, parking, or enforcement in this city?

Q16
Multiple Choice

How do you describe your gender?

  • Female
  • Male
  • Non-binary
  • Prefer to self-describe
  • Prefer not to say
Q17
Multiple Choice

In the last 30 days, how often did you ride a micromobility device in this city?

  • Daily or almost daily
  • 3–5 days per week
  • 1–2 days per week
  • A few times this month
  • Not in the last 30 days
Q18
Opinion Scale

If you have ridden in the last 3 months, how safe or unsafe did you feel riding in a designated bike lane?

Scale: 17
Min:Very unsafeMax:Very safe
Q19
Multiple Choice

In the last 3 months, which of the following parking situations have you personally experienced with micromobility in this city? Select all that apply.

  • Found a designated parking area or corral
  • Parked on sidewalk without blocking access
  • Could not find a legal place to park
  • Received a warning or fine
  • Device tipped over after parking
  • Not applicable — did not park in the last 3 months
Q20
Opinion Scale

To what extent do you support or oppose requiring helmets for all e-scooter and e-bike riders?

Scale: 17
Min:Strongly opposeMax:Strongly support
Q21
Multiple Choice

Which best describes the area where you live?

  • Downtown/central area
  • Residential neighborhood near center
  • Suburban area
  • Rural or fringe area
  • Prefer not to say
Q22
Multiple Choice

If you have not used micromobility in this city, which of the following are reasons why? Select up to 3.

  • Concerns about safety
  • Lack of protected lanes or routes
  • Cost or pricing
  • Parking rules are unclear
  • Limited availability or coverage area
  • I do not need it for my trips
  • Physical accessibility barriers
  • Other (not listed)
  • Not applicable — I have used micromobility
Q23
Opinion Scale

How safe or unsafe did you feel riding in mixed traffic with motor vehicles?

Scale: 17
Min:Very unsafeMax:Very safe
Q24
Long Text

If you experienced difficulty finding parking or received a warning or fine, please briefly describe what happened.

Q25
Opinion Scale

To what extent do you support or oppose using geofencing technology to restrict riding in certain areas (e.g., busy pedestrian zones)?

Scale: 17
Min:Strongly opposeMax:Strongly support
Q26
Dropdown

How long have you lived in this city?

  • Less than 1 year
  • 1–2 years
  • 3–5 years
  • 6–10 years
  • More than 10 years
  • I do not live here
  • Prefer not to say
Q27
Opinion Scale

How safe or unsafe did you feel crossing intersections?

Scale: 17
Min:Very unsafeMax:Very safe
Q28
Opinion Scale

To what extent do you support or oppose the city investing in educational campaigns about safe riding and parking rules?

Scale: 17
Min:Strongly opposeMax:Strongly support
Q29
Dropdown

What is the highest level of education you have completed?

  • Less than high school
  • High school or equivalent
  • Some college/technical
  • Bachelor's degree
  • Graduate or professional degree
  • Prefer not to say
Q30
Opinion Scale

How safe or unsafe did you feel riding at night or in low-light conditions?

Scale: 17
Min:Very unsafeMax:Very safe
Q31
Multiple Choice

Are you aware of how to report unsafe riding or improper parking in this city?

  • Yes, and I have submitted a report
  • Yes, but I have not reported anything
  • No, I am not aware of how to report
Q32
Dropdown

What is your current employment status?

  • Employed full-time
  • Employed part-time
  • Self-employed
  • Student
  • Homemaker or caregiver
  • Retired
  • Unemployed and seeking work
  • Prefer not to say
Q33
Multiple Choice

In the last 12 months in this city, which of the following have you experienced while riding? Select all that apply.

  • A near-miss with a vehicle
  • A near-miss with a pedestrian
  • A minor injury (no medical visit)
  • An injury requiring medical care
  • Device malfunction or brake issue
  • Verbal conflict with another road user
  • None of the above

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.

How it compares

We reviewed the closest templates from other survey tools. Here’s what they do well — and where this template goes further.

Why this template

  • Built specifically around micromobility and parking behavior — covering e-scooter/e-bike usage frequency, mode choice, and reasons for non-use — rather than being a generic safety questionnaire adapted to fit
  • Uses opinion-scale batteries to isolate distinct risk contexts (mixed traffic, intersections, night riding) and distinct policy levers (fines, speed limits, helmets, geofencing, education), giving municipalities granular, actionable breakdowns instead of one blended 'safety' score
  • Includes an AI follow-up interview that lets residents elaborate on parking friction, near-misses, or enforcement experiences in their own words, with an open-text prompt afterward for policy suggestions — something a fixed-question form cannot adapt to
  • Closes the loop with demographic and residency questions (housing type, tenure, age, employment) so results can be segmented by rider vs. non-rider and neighborhood type, supporting equity-focused enforcement decisions

QuestionPro

University Campus Safety Survey Questions + Sample Questionnaire Template

This is a safety-perception questionnaire template, but built for university campus security/crime concerns rather than municipal micromobility policy — the population (students), risk categories (campus crime, harassment), and policy asks are structurally different from what a city needs on e-scooter/e-bike safety and parking. It's useful mainly as a reference for how QuestionPro structures safety-perception item batteries, not as a ready-to-field micromobility instrument. Like most template-library pages, it presents a static question list rather than an adaptive interview.

What it does well

  • Established template library format with a documented sample questionnaire researchers can review before fielding
  • Organized around clear safety-perception constructs (perceived risk, reporting awareness), a pattern transferable to other civic safety topics
  • Backed by a full survey platform with standard distribution and reporting tools

Where it falls short

  • Domain and audience mismatch: designed for campus security perceptions, not resident transportation/parking behavior, so questions would need substantial rewriting to be usable for micromobility research
  • Static question set with no adaptive AI follow-up to probe individual incidents or parking disputes in a respondent's own words
  • No indication of automated per-response quality scoring or transparent prompt logic behind question design

Ready to launch?

Open this template in the editor. Every part is yours to change before the first respondent sees it.

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