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Resident E-Scooter & E-Bike Safety & Parking Survey

Use this ready-to-deploy survey template to gather resident feedback on micromobility (e-scooter/e-bike) safety, parking, and rules. Takes 6-8 minutes.

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

Sample Survey Items

Q1
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
Q2
multiple choice
In the last 12 months, have you used an e‑scooter, e‑bike, or similar micro‑mobility in this city at least once?
  • Yes
  • No
Q3
ranking
If you have not used micro‑mobility here, rank the main reasons you haven’t. Put your biggest reason at the top.
Q4
opinion scale
Based on what you’ve seen or heard in the last 3 months, how safe do you think micro‑mobility is in this city?
Q5
multiple choice
In the last 30 days, how often have you seen scooters or bikes parked in ways that block sidewalks or ramps?
  • Often
  • Sometimes
  • Rarely
  • Never
Q6
multiple choice
Which types 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
Q7
dropdown
In the last 30 days, how often did you ride micro‑mobility in this city?
Q8
opinion scale
When riding in this city in the last 3 months, how safe did you feel overall?
Q9
matrix
How safe or unsafe have the following felt in the last 3 months?
Q10
multiple choice
In the last 12 months in this city, which 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
Q11
multiple choice
Attention check: To confirm you are paying attention, please select “Sometimes” below.
  • Often
  • Sometimes
  • Rarely
  • Never
Q12
multiple choice
How clear are the city’s rules about where scooters or bikes may be parked?
  • Very clear
  • Somewhat clear
  • Somewhat unclear
  • Very unclear
  • I am not aware of any rules
Q13
multiple choice
In the last 3 months, which parking outcomes have you personally had with micro‑mobility 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
Q14
long text
Briefly describe where parking was difficult or what led to a warning or fine.
Max 600 chars
Q15
rating
To what extent do you support the city issuing fines for scooters or bikes that block sidewalks or ramps?
Q16
matrix
How much do you support or oppose the following approaches to enforcement and education?
Q17
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
Q18
dropdown
What is your age?
Q19
multiple choice
How do you describe your gender?
  • Female
  • Male
  • Non-binary
  • Prefer not to say
Q20
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
Q21
dropdown
What is the highest level of education you have completed?
Q22
multiple choice
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
Q23
numeric
How many years have you lived in this city? If less than 1 year, enter 0.
Q24
multiple choice
How do you usually get around in this city? Select all that apply.
  • Walk
  • Public transit
  • Drive myself
  • Ride as a passenger
  • Micro‑mobility (e‑scooter/e‑bike)
  • Taxi or ride‑hail
  • Wheelchair or mobility device
  • Other
Q25
long text
Any suggestions to improve safety, parking, or enforcement for micro‑mobility in this city?
Max 600 chars
Q26
chat message
Welcome! Your feedback will help the city improve micro‑mobility. You may skip any question. Thank you for participating.
Q27
ai interview
AI Interview: 2 Follow‑up Questions on Micro‑Mobility in Your City
AI Interview
Q28
chat message
Thank you for your time—your input will help inform safer, more accessible micro‑mobility.

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Resident E-Scooter & E-Bike Safety & Parking Survey - Survey Template | QuestionPunk