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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 · ~11 min
Q01
Message

Welcome to the Micro-Fulfillment Center Neighborhood Impact Survey. This short survey (approximately 6–8 minutes) asks about small local delivery hubs and how they may affect your neighborhood. Your participation is entirely voluntary, and you may stop at any time. There are no right or wrong answers—we are interested in your honest opinions. All responses are confidential and will be reported only in aggregate to inform local planning and policy discussions. For this survey, a "micro-fulfillment center" (MFC) is a small facility—often located inside or behind a retail store, or in a light-industrial building—where online orders are packed and dispatched by van, cargo bike, or small truck.

Q02
Multiple Choice

Before today, were you aware of a micro-fulfillment center operating within about 1 mile of your home?

  • Yes
  • No
  • Not sure
Q03
Multiple Choice

In the past 30 days near your home, which of the following have you noticed? Select all that apply.

  • More delivery vans stopping or parking
  • More large trucks (box trucks or tractor-trailers)
  • More cargo bikes or scooters for deliveries
  • Autonomous delivery robots on sidewalks
  • Curb space often in use for loading
  • Sidewalk crowding near a facility
  • Noticeable nighttime loading noise
  • None of the above
Q04
Message

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
Opinion Scale

Overall, how supportive are you of having a micro-fulfillment center operate within one mile of your home?

Scale: 17
Min:Not at all supportiveMax:Extremely supportive
Q06
Multiple Choice

Which measures would you most prefer the city require of micro-fulfillment center operators? Select up to three.

  • Require electric or low-emission delivery vehicles
  • Limit delivery hours to reduce nighttime noise
  • Designate curb/loading zones to avoid double-parking
  • Cap the size of trucks serving facilities
  • Require operators to fund traffic and air-quality monitoring
  • Mandate off-peak deliveries (outside rush hours)
  • Set up a community contact for reporting issues
  • Require on-site queuing to keep trucks off streets
  • Not sure / none of the above
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?

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

Thank you for participating. Your input will help inform thoughtful, evidence-based local planning and policy decisions.

Q10
Dropdown

To the best of your knowledge, approximately how close is the nearest micro-fulfillment center to your home?

  • Within my building or block
  • Within 2–5 blocks
  • About 0.5–1 mile
  • About 1–3 miles
  • Farther than 3 miles
  • Not sure
Q11
Opinion Scale

In the past 30 days, how often have you seen delivery vehicles (vans, trucks, cargo bikes) on your block?

Scale: 17
Min:NeverMax:Multiple times a day
Q12
Opinion Scale

In your view, how have micro-fulfillment centers affected traffic flow in your neighborhood?

Scale: 17
Min:Made it much worseMax:Made it much better
Q13
Opinion Scale

Taking everything into account, do you believe micro-fulfillment centers are a net positive or a net negative for your neighborhood?

Scale: 17
Min:Strongly net negativeMax:Strongly net positive
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?

  • Woman
  • Man
  • Non-binary
  • Prefer to self-describe
  • Prefer not to say
Q16
Opinion Scale

In your view, how have micro-fulfillment centers affected noise levels in your neighborhood?

Scale: 17
Min:Made it much worseMax:Made it much better
Q17
Multiple Choice

What is your current housing situation?

  • Renter
  • Homeowner
  • Live with family/roommates, not on the lease
  • Other
  • Prefer not to say
Q18
Opinion Scale

In your view, how have micro-fulfillment centers affected local job opportunities in your neighborhood?

Scale: 17
Min:Made it much worseMax:Made it much better
Q19
Dropdown

What is the highest level of education you have completed?

  • Less than high school
  • High school or equivalent
  • Some college or trade/technical
  • Bachelor's degree
  • Graduate or professional degree
  • Prefer not to say
Q20
Opinion Scale

In your view, how have micro-fulfillment centers affected pedestrian and cyclist safety in your neighborhood?

Scale: 17
Min:Made it much worseMax:Made it much better
Q21
Dropdown

What is your current employment status?

  • Employed full-time
  • Employed part-time
  • Self-employed
  • Student
  • Homemaker/caregiver
  • Retired
  • Unemployed, seeking work
  • Not working by choice
  • Prefer not to say
Q22
Opinion Scale

In your view, how have micro-fulfillment centers affected air quality in your neighborhood?

Scale: 17
Min:Made it much worseMax:Made it much better
Q23
Long Text

In which city or region do you live? (Optional)

Q24
Opinion Scale

In your view, how have micro-fulfillment centers affected the overall character and feel of your neighborhood?

Scale: 17
Min:Made it much worseMax:Made it much better

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.

Frequently asked questions

What questions are in the “Micro-Fulfillment Center Neighborhood Impact Survey” template?

The template includes 24 ready-to-use questions, starting with: “Welcome to the Micro-Fulfillment Center Neighborhood Impact Survey. This short survey (approximately 6–8 minutes) asks…” · “Before today, were you aware of a micro-fulfillment center operating within about 1 mile of your home?” · “In the past 30 days near your home, which of the following have you noticed? Select all that apply.”. The full set is previewed above, and every question is editable.

How long does this survey take to complete?

Respondents typically finish the 24 questions in about 11 minutes.

Can I customize this template?

Yes — every question, answer option, and the ordering is editable before you launch. You can add or remove questions, or ask the AI editor to rework the survey around your research goal.

Is this template free to use?

Yes. Open it in the editor and start customizing right away — no account required to try it, and the free plan covers launching your survey.

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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