Facility Location Evaluation Form

Facility Location Evaluation Form
Please complete this form to provide a detailed assessment of the facility's location. Your feedback will help us ensure the suitability and quality of our sites.
Facility Name
Facility Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Evaluator Full Name
First NameLast Name
Evaluator Email Address
example@example.com
Evaluation Date
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate

How would you rate the following aspects of the facility's location?

Rows	Excellent	Good	Fair	Poor
Accessibility (public transport, roads)
Safety and security
Proximity to necessary amenities (shops, hospitals, etc.)
Parking availability
Noise levels
Surrounding environment (cleanliness, aesthetics)

Overall suitability of the facility location for its intended purpose
Are there any accessibility concerns or barriers at this location?
Other (please specify)
What is the primary type of area surrounding the facility?
Please provide any additional comments or observations about the facility location.
Should be Empty:

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