Green Space Impact Survey Form
Please share your experiences and perceptions to help us evaluate the impact of green spaces in your community.
How often do you visit green spaces in your area?
*
Daily
A few times a week
Once a week
A few times a month
Rarely/Never
What is your primary reason for visiting green spaces?
*
Exercise
Relaxation
Socializing
Nature appreciation
Other
Overall, how satisfied are you with the quality and maintenance of green spaces in your area?
*
1
2
3
4
5
Please rate your agreement with the following statements about green spaces.
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Green spaces improve my physical health
1
2
3
4
5
Green spaces improve my mental well-being
6
7
8
9
10
Green spaces foster a sense of community
11
12
13
14
15
Green spaces are accessible to everyone
16
17
18
19
20
Which features do you value most in green spaces? (Select up to 3)
*
Walking paths
Playgrounds
Seating areas
Gardens/flower beds
Open lawns
Water features
Other
How safe do you feel when using green spaces in your area?
*
Very safe
Somewhat safe
Neutral
Somewhat unsafe
Very unsafe
What improvements would you most like to see in local green spaces?
More seating
Better lighting
Increased cleanliness
More diverse plantings
Additional recreational facilities
Other
Please share any specific comments or suggestions regarding green spaces in your area.
Which age group do you belong to?
*
Please Select
Under 18
18-24
25-34
35-44
45-54
55-64
65 or older
Prefer not to say
What is your relationship to the area?
*
Resident
Worker
Student
Visitor
Other
Submit Survey
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