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.
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
Template Overview
33
Questions
AI-Powered
Smart Analysis
Ready-to-Use
Launch in Minutes
This professionally designed survey template helps you gather valuable insights with intelligent question flow and automated analysis.
Sample Survey Items
Q1
Chat 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 6–8 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.
Q2
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
Q3
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
Q4
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
Q5
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
Q6
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
Q7
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
Q8
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?
Range: 1 – 7
Min: Very unsafeMid: NeutralMax: Very safe
Q9
Opinion Scale
If you have ridden a micromobility device in this city in the last 3 months, how safe did you feel overall?
Range: 1 – 7
Min: Not at all safeMid: NeutralMax: Very safe
Q10
Opinion Scale
If you have ridden in the last 3 months, how safe or unsafe did you feel riding in a designated bike lane?
Range: 1 – 7
Min: Very unsafeMid: NeutralMax: Very safe
Q11
Opinion Scale
How safe or unsafe did you feel riding in mixed traffic with motor vehicles?
Range: 1 – 7
Min: Very unsafeMid: NeutralMax: Very safe
Q12
Opinion Scale
How safe or unsafe did you feel crossing intersections?
Range: 1 – 7
Min: Very unsafeMid: NeutralMax: Very safe
Q13
Opinion Scale
How safe or unsafe did you feel riding at night or in low-light conditions?
Range: 1 – 7
Min: Very unsafeMid: NeutralMax: Very safe
Q14
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
Q15
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
Q16
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
Q17
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
Q18
Long Text
If you experienced difficulty finding parking or received a warning or fine, please briefly describe what happened.
Max chars
Q19
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?
Range: 1 – 7
Min: Strongly opposeMid: NeutralMax: Strongly support
Q20
Opinion Scale
To what extent do you support or oppose setting speed limits for e-scooters and e-bikes in pedestrian areas?
Range: 1 – 7
Min: Strongly opposeMid: NeutralMax: Strongly support
Q21
Opinion Scale
To what extent do you support or oppose requiring helmets for all e-scooter and e-bike riders?
Range: 1 – 7
Min: Strongly opposeMid: NeutralMax: Strongly support
Q22
Opinion Scale
To what extent do you support or oppose using geofencing technology to restrict riding in certain areas (e.g., busy pedestrian zones)?
Range: 1 – 7
Min: Strongly opposeMid: NeutralMax: Strongly support
Q23
Opinion Scale
To what extent do you support or oppose the city investing in educational campaigns about safe riding and parking rules?
Range: 1 – 7
Min: Strongly opposeMid: NeutralMax: Strongly support
Q24
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
Q25
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.
AI InterviewLength: 2Personality: [Object Object]Mode: Fast
Reference questions: 6
Q26
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?
Max chars
Q27
Dropdown
What is your age?
Under 18
18–24
25–34
35–44
45–54
55–64
65 or older
Prefer not to say
Q28
Multiple Choice
How do you describe your gender?
Female
Male
Non-binary
Prefer to self-describe
Prefer not to say
Q29
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
Q30
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
Q31
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
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
Chat Message
Thank you for completing this survey. Your input will help inform safer, more accessible micromobility policies in this city. If you have any questions about this survey, please contact [insert contact information].
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