Walkability Survey
Availability of Footpath:
--Please choose an option--
Yes
No
Surface Material of Footpath:
--Please choose an option--
Interlocking blocks
Tiles
Bricks
Stones
Concrete
Other
Please specify material:
Width of footpath in meter:
Height of footpath in centimeter:
Obstacles while walking:
--Please choose an option--
Tree
Hawkers
Garbage
Garbage bin
Bus Stop
Rubble
Private Signboard
Transformer
Streetlight pole
Electric pole
Parked Vehicle
Other
Please specify obstacle:
Do you feel unsafe with a possibility of meeting with an accident?
--Please choose an option--
Yes
No
Upload a Photo (Optional):
Name of the surveyor:
Submit to Google Sheet
Submission successful!
