How Walkable is Your Community? 1. Default Section Question Title * 1. Where did your walk take place? Question Title * 2. Did you have room to walk? Yes No-Sidewalks or paths started and stopped No-Sidewalks were broken or cracked No-Sidewalks were blocked with poles, signs, trees, plants, dumpsters, etc. No-No sidewalks, paths, or shoulders No-Too much traffic No-Something else Location of problems: Question Title * 3. How would you rate the amount of room you had to walk? (1 worst to 6 best 1 2 3 4 5 6 Question Title * 4. Was it easy to cross streets? Yes No-Road was too wide No-Traffic signals made us wait too long or did not give us enough time to cross No-Needed striped crosswalks or traffic signals No-Parked cars blocked our view of traffic No-Trees or plants blocked our view of traffic No-Needed curb ramps or ramps needed repair No-Something else Location of problems: Question Title * 5. How would you rate the easiness to cross streets? (1 worst to 6 best) 1 2 3 4 5 6 Question Title * 6. Did drivers behave well? Yes No-Backed out of driveways without loooking No-Did not yield to people crossing the street No-Turned into people crossing the street No-Drove to fast No-Sped up to make it through the traffic lights or drove through the traffic lights No-Something else Location of problmes: Question Title * 7. How would you rate how well drivers behaved? (1 worst to 6 best) 1 2 3 4 5 6 Question Title * 8. Was it easy to follow safety rules?Could you and your child... Yes No Cross at Crosswalks or where you could see and be seen by drivers? Cross at Crosswalks or where you could see and be seen by drivers? Yes Cross at Crosswalks or where you could see and be seen by drivers? No Stop and look left, right, and then left before crossing streets? Stop and look left, right, and then left before crossing streets? Yes Stop and look left, right, and then left before crossing streets? No Walk on sidewalks or shoulders facing traffic where there were no sidewalks? Walk on sidewalks or shoulders facing traffic where there were no sidewalks? Yes Walk on sidewalks or shoulders facing traffic where there were no sidewalks? No Cross with the light? Cross with the light? Yes Cross with the light? No Location of problems: Question Title * 9. How would you rate the easiness to follow safety rules? (1 worst to 6 best) 1 2 3 4 5 6 Question Title * 10. Was your walk pleasant? Yes No-Needed more grass, flowers, or trees No-Scary dogs No-Scary people No-Not well lighted No-Dirty, lots of litter or trash No-Dirty air due to automobile exhaust No-Something else Location of problems: Question Title * 11. How would you rate the pleasantness of your walk? (1 worst to 6 best) 1 2 3 4 5 6 Question Title * 12. How does your neighborhood stack up?Enter and add up your ratings from questions 3,5,7,9, and 11 then decide. 3. 5. 7. 9. 11. Total 26-30 Celebrate! You have a great neighborhood for walking.21-25 Celebrate a little. Your neighborhood is pretty good.16-20 Okay, but needs work.11-15 It needs lots of work. You deserve better than that.5-10 It's a disaster for walking! Done