Q01
Long Text
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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 · ~4 min
Q02
Multiple Choice
Where do you primarily live?
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?
Q04
Long Text
Based on what you have seen or heard in the last 3 months, how safe do you think micromobility is in this city?
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?
Q06
Long Text
To what extent do you support or oppose the city issuing fines for e-scooters or e-bikes that block sidewalks or ramps?
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
Long Text
What is your age?
Q09
Long Text
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].
Q10
Multiple Choice
How do you usually get around in this city? Select all that apply.
Q11
Multiple Choice
Which of the following have you used in this city in the last 12 months? Select all that apply.
Q12
Long Text
If you have ridden a micromobility device in this city in the last 3 months, how safe did you feel overall?
Q13
Multiple Choice
How clear are the city's current rules about where e-scooters and e-bikes may be parked?
Q14
Long Text
To what extent do you support or oppose setting speed limits for e-scooters and e-bikes in pedestrian areas?
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?
Q17
Multiple Choice
In the last 30 days, how often did you ride a micromobility device in this city?
Q18
Long Text
If you have ridden in the last 3 months, how safe or unsafe did you feel riding in a designated bike lane?
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.
Q20
Long Text
To what extent do you support or oppose requiring helmets for all e-scooter and e-bike riders?
Q21
Multiple Choice
Which best describes the area where you live?
Q22
Multiple Choice
If you have not used micromobility in this city, which of the following are reasons why? Select up to 3.
Q23
Long Text
How safe or unsafe did you feel riding in mixed traffic with motor vehicles?
Q24
Long Text
If you experienced difficulty finding parking or received a warning or fine, please briefly describe what happened.
Q25
Long Text
To what extent do you support or oppose using geofencing technology to restrict riding in certain areas (e.g., busy pedestrian zones)?
Q26
Long Text
How long have you lived in this city?
Q27
Long Text
How safe or unsafe did you feel crossing intersections?
Q28
Long Text
To what extent do you support or oppose the city investing in educational campaigns about safe riding and parking rules?
Q29
Long Text
What is the highest level of education you have completed?
Q30
Long Text
How safe or unsafe did you feel riding at night or in low-light conditions?
Q31
Multiple Choice
Are you aware of how to report unsafe riding or improper parking in this city?
Q32
Long Text
What is your current employment status?
Q33
Multiple Choice
In the last 12 months in this city, which of the following have you experienced while riding? Select all that apply.
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.