All templates
Nonprofit & Civic

Neighborhood Sidewalk Accessibility & Condition Assessment

A resident feedback instrument for municipalities and civic organizations to assess sidewalk accessibility, physical condition, ADA barriers, and maintenance priorities. Designed for community-wide distribution to inform walkability planning and repair prioritization.

Sample questions

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

20 questions · ~9 min
Q01
Message

Welcome to the Neighborhood Sidewalk Accessibility & Condition Survey. This survey is being conducted to understand residents' experiences with sidewalk accessibility, condition, and maintenance in your area. Your responses will help inform decisions about sidewalk repairs and improvements. Participation is completely voluntary, and you may stop at any time. There are no right or wrong answers — we are interested in your honest opinions and experiences. All responses are confidential and will be reported only in aggregate. The survey takes approximately 6–8 minutes to complete. Thank you for your time.

Q02
Multiple Choice

How often do you use sidewalks near where you live?

  • Daily
  • A few times a week
  • About weekly
  • About monthly
  • Rarely/Never
Q03
Opinion Scale

Overall, how accessible are sidewalks in your area?

Scale: 15
Min:Not at all accessibleMax:Extremely accessible
Q04
Ranking

Please rank the following potential sidewalk improvements from highest to lowest priority.

  1. Fix uneven or broken pavement
  2. Add or repair curb ramps
  3. Improve snow and ice clearance
  4. Ensure safe detours around construction
  5. Trim vegetation and keep sidewalks clear
  6. Widen narrow sidewalk segments
  7. Improve lighting along sidewalks
Drag to rank
Q05
AI Interview

Based on your responses throughout this survey, please share any additional thoughts or experiences about sidewalk accessibility and upkeep in your area. Our AI moderator may ask a brief follow-up question to better understand your perspective.

Q06
Multiple Choice

What is your age group?

  • 17 or under
  • 18–24
  • 25–34
  • 35–44
  • 45–54
  • 55–64
  • 65 or older
  • Prefer not to say
Q07
Message

Thank you for completing this survey. Your feedback will be used to help prioritize sidewalk improvements in our community. If you have urgent sidewalk safety concerns, please contact your local public works department directly.

Q08
Multiple Choice

What are your main reasons for using sidewalks? Select all that apply.

  • Commuting to work or school
  • Exercise or recreation
  • Errands or shopping
  • Accessing public transit
  • Leisure walks with family or pets
  • Accessing healthcare or services
  • Other (please specify)
Q09
Multiple Choice

In the past 3 months, which of the following sidewalk issues have you personally encountered? Select all that apply.

  • Cracked, uneven, or broken pavement
  • Missing or damaged curb ramps
  • Sidewalks too narrow for comfortable use
  • Overgrown vegetation blocking the path
  • Poor lighting along sidewalks
  • Standing water or drainage problems
  • Lack of tactile or visual accessibility cues
  • No sidewalk available on my route
  • None of the above
Q10
Multiple Choice

In the past 12 months, how have you reported sidewalk issues, if at all? Select all that apply.

  • 311 or mobile app
  • City website form
  • Phone or email to city offices
  • In person at a city office or meeting
  • Social media
  • Neighborhood association or community group
  • I have not reported any sidewalk issues
Q11
Multiple Choice

How do you describe your gender?

  • Woman
  • Man
  • Non-binary
  • Prefer to self-describe
  • Prefer not to say
Q12
Multiple Choice

When traveling on sidewalks, do you use any of the following? Select all that apply.

  • Cane
  • Crutches
  • Walker
  • Manual wheelchair
  • Power wheelchair or scooter
  • Stroller
  • White cane or low-vision aid
  • Other mobility aid
  • None of the above
Q13
Multiple Choice

Last winter, how often were sidewalks near you cleared within 24 hours after snow or ice?

  • Always
  • Often
  • Sometimes
  • Rarely
  • Never
  • Not applicable (no snow/ice in my area)
Q14
Long Text

If you feel comfortable, please name the nearest intersection or block where you frequently experience sidewalk issues. Avoid sharing exact addresses or personal details.

Q15
Multiple Choice

Which of the following best describes the area where you live?

  • Urban core or downtown
  • Suburban area
  • Small town
  • Rural area
  • Outside the city limits
  • Prefer not to say
Q16
Opinion Scale

In the past 3 months, how often did you encounter blocked sidewalks (e.g., due to construction, parked vehicles, or equipment)?

Scale: 15
Min:NeverMax:Very often
Q17
Multiple Choice

What is the highest level of education you have completed?

  • Less than high school
  • High school or equivalent
  • Some college or associate degree
  • Bachelor's degree
  • Graduate or professional degree
  • Prefer not to say
Q18
Opinion Scale

How safe do you feel using sidewalks in your area during the daytime?

Scale: 15
Min:Not at all safeMax:Extremely safe
Q19
Multiple Choice

What is your current employment status?

  • Working full-time
  • Working part-time
  • Self-employed
  • Student
  • Homemaker or caregiver
  • Retired
  • Unemployed
  • Unable to work
  • Prefer not to say
Q20
Opinion Scale

How safe do you feel using sidewalks in your area after dark?

Scale: 15
Min:Not at all safeMax:Extremely safe

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

  • Includes dedicated opinion-scale questions on daytime and after-dark safety perceptions, plus accessibility rating, giving planners nuanced quantitative data beyond generic satisfaction scores
  • Captures specific ADA-relevant barriers through multi-select issue checklists (blocked sidewalks, snow clearance timing, personally encountered problems) rather than open-ended complaints alone
  • Includes a ranking exercise for prioritizing potential sidewalk improvements, directly supporting repair/budget prioritization decisions
  • Closes with an AI follow-up interview that adapts to each respondent's prior answers, surfacing specifics (like exact intersections or recurring hazards) that fixed-form tools cannot probe for

SurveyMonkey

Neighborhood Feedback Survey Template

This is a general neighborhood feedback template rather than one focused specifically on sidewalk accessibility, ADA barriers, or maintenance prioritization. It's a ready-to-field static form suitable for broad community sentiment gathering, but lacks the infrastructure-specific depth (winter snow clearance, blocked sidewalk frequency, ADA-oriented barrier tracking) built into a sidewalk-focused instrument.

What it does well

  • Backed by SurveyMonkey's established survey distribution and analytics infrastructure
  • Quick to deploy for general community sentiment
  • Likely customizable with SurveyMonkey's standard question library

Where it falls short

  • Fixed question set with no adaptive follow-up probing to unpack why a resident feels sidewalks are unsafe or inaccessible
  • No mention of ADA-specific accessibility barrier tracking, winter maintenance timing, or improvement-prioritization ranking
  • No mechanism (like an AI interview) to gather rich qualitative detail on specific problem locations at scale

Ready to launch?

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

Related templates

More studies from the same category.

See all
Nonprofit & Civic

Transit Rider Experience: Reliability, Safety & Accessibility

Measures public transit riders' perceptions of service reliability, personal safety, and station accessibility to identify and prioritize service improvements across bus and rail systems.

View template
Nonprofit & Civic

Resident Trust & Accountability in Local Government

Measures resident perceptions of trust, fairness, transparency, and accountability in local public services. Designed for municipal governments and civic organizations seeking actionable feedback to improve governance and resident relations.

View template
Nonprofit & Civic

Resident Input on Municipal Budget Priorities

Gathers resident feedback on city service satisfaction, spending priorities, and fiscal trade-offs to inform local government budget planning and resource allocation decisions.

View template
Nonprofit & Civic

Nonprofit Donor Satisfaction & Stewardship Survey

Measures donor perceptions of nonprofit communications clarity, online giving usability, and post-gift stewardship to identify key drivers of satisfaction and retention.

View template
Nonprofit & Civic

Municipal Park Satisfaction & Safety Survey

Measures resident satisfaction with local park amenities, safety, and programming to help municipal parks departments prioritize improvements and track service quality over time.

View template
Nonprofit & Civic

Donor Stewardship & Impact Transparency Survey

Measures donor satisfaction with recognition practices, organizational transparency, and impact reporting quality to inform stewardship strategy and improve donor retention.

View template