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.
How often do you use sidewalks near where you live?
- Daily
- A few times a week
- About weekly
- About monthly
- Rarely/Never
Overall, how accessible are sidewalks in your area?
Please rank the following potential sidewalk improvements from highest to lowest priority.
- Fix uneven or broken pavement
- Add or repair curb ramps
- Improve snow and ice clearance
- Ensure safe detours around construction
- Trim vegetation and keep sidewalks clear
- Widen narrow sidewalk segments
- Improve lighting along sidewalks
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.
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
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.
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)
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
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
How do you describe your gender?
- Woman
- Man
- Non-binary
- Prefer to self-describe
- Prefer not to say
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
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)
If you feel comfortable, please name the nearest intersection or block where you frequently experience sidewalk issues. Avoid sharing exact addresses or personal details.
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
In the past 3 months, how often did you encounter blocked sidewalks (e.g., due to construction, parked vehicles, or equipment)?
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
How safe do you feel using sidewalks in your area during the daytime?
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
How safe do you feel using sidewalks in your area after dark?
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 TemplateThis 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.
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