City Infrastructure Safety Assessment Survey Form
Please complete this survey to help assess the safety of city infrastructure. Your feedback will guide improvements in public safety and urban planning.
Overall, how would you rate the current safety of city infrastructure?
*
1
2
3
4
5
Please rate the following aspects of city infrastructure safety.
*
Rows
Very Unsafe
Unsafe
Neutral
Safe
Very Safe
Road conditions
1
2
3
4
5
Bridge and overpass safety
6
7
8
9
10
Sidewalk and pedestrian area safety
11
12
13
14
15
Street lighting
16
17
18
19
20
Traffic signals and signage
21
22
23
24
25
Public transportation infrastructure
26
27
28
29
30
Have you noticed any damaged or hazardous infrastructure in your area recently?
*
Yes
No
How satisfied are you with the maintenance and repair of city infrastructure?
*
Very Dissatisfied
1
2
3
4
Very Satisfied
5
1 is Very Dissatisfied, 5 is Very Satisfied
How effective is the city’s communication about infrastructure issues and repairs?
*
Not Effective
1
2
3
4
Very Effective
5
1 is Not Effective, 5 is Very Effective
Which type of infrastructure do you feel needs the most improvement?
*
Please Select
Roads
Bridges/Overpasses
Sidewalks/Pedestrian Areas
Public Transportation Facilities
Street Lighting
Signage/Signals
Other
How often do you encounter unsafe infrastructure conditions?
*
Daily
Weekly
Monthly
Rarely
Never
What is your overall perception of public safety in city infrastructure?
*
Very Unsafe
Unsafe
Neutral
Safe
Very Safe
If you have reported any infrastructure issues, how satisfied were you with the city's response?
Very Dissatisfied
1
2
3
4
Very Satisfied
5
1 is Very Dissatisfied, 5 is Very Satisfied
Please provide any additional comments or suggestions regarding city infrastructure safety.
Submit Assessment
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