A. Personal

Name^*

Gender^*

Age^*

B. Perception/Knowledge Questions

Q. 1 - How clean would you say your neighborhood is? ^*

 Q. 2 - Are the roads in your area well-maintained?^*

Q. 3 - Do you have streetlights that work properly at night?^*

Q.4 – Are you satisfied with the garbage collection service in your neighborhood?^*

Q.5 - Have you ever reported any issues regarding neighborhood maintenance?

Q.6 - If you have reported, then where do you take concerns regarding the maintenance of your neighborhood?^*

Q.7 - How fast is the response from the necessary authoritative body?^*

Q.8 - Which local issue(s) matter most to you right now? (Check all that apply)^*

Q.9 - For which of the following issues, you are aware of the relevant authority/service provider responsible?^*

Q.10 - Has your area experienced flooding or drainage issues during the last monsoon season?^*

Q.11 - Are parks/public spaces within a walkable (5 minute) distance from your home in your neighborhood?^*

Q.12 - Do you know which authority is responsible for road maintenance in your area?^*

Q.13 - Do you trust your local representatives to act in your interest?^*

Q.14 - Are you aware of any citizen group working on neighborhood matters in your neighborhood?^*

Q.16 - Would you be interested in playing a more active role in civic decision-making related to your neighborhood?^*