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* 1. In which local authority area do you live?

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* 2. If you live in Airdrie, where do you live?

Please skip this question if you do not live in Airdrie.

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* 3. If you live in Stirling, where do you live?

Please skip this question if you do not live in Stirling.

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* 4. How old are you?

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* 5. Are you disabled, or do you have a condition that makes it more difficult for you to get out and about?

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* 6. Can I easily walk and cycle around using good-quality routes?

Think about the following when considering your rating:

- Are there enough routes for walking and cycling?
- Are walking and cycling given priority over cars and other traffic as much as possible?
- Do routes provide obvious and direct links with the places that people want to go, such as schools, shops, parks and public transport?
- Are routes good quality, attractive and pleasant to use?
- Do routes meet the needs of everyone, whatever their age or mobility, and is there seating for those who need it?
- Do routes feel safe to use all year round and at different times of the day?

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* 7. Please use this space to provide reasons for your rating.

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* 8. Does public transport meet my needs?

Think about the following when considering your rating:

 Are public transport services frequent and reliable?
 Do they take people to where they want to go?
 Is public transport safe and easy to access, whatever their age or mobility?
 Are bus stops and stations in convenient places and within walking distance of people’s homes and is there seating for those who need it?
 Do bus and train stations have what is needed, for example, toilets, secure parking and cycle storage?
 Can everyone afford public transport services?
 Are facilities and vehicles of good quality and well maintained?

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* 9. Please use this space to provide reasons for your rating.

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* 10. Do traffic and parking arrangements allow people to move around safely and meet the community’s needs?

Think about the following when considering your rating:

- Do people take priority over cars and other traffic?
- What impact does traffic have on health and wellbeing in the place (you might want to think about access, noise and air quality)?
- Is parking in a safe and secure location?
- Are traffic-calming measure used effectively to benefit the community?
- Are there too many cars and too much traffic in the area?

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* 11. Please use this space to provide reasons for your rating.

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* 12. Do buildings, streets and public spaces create an attractive place that is easy to get around?

Think about the following when considering your rating:

- Do the buildings or public spaces make being in or passing through the area a pleasant experience?
- Are there positive features such as local landmarks, historic buildings, public squares or natural features that make the place look attractive?
- Do poor aspects such as derelict buildings, vacant land or excessive noise reduce the effect that these positive features have?
- Do features and routes help people find their way around?
- Is it much harder to enjoy the place at night, in different seasons, or during bad weather?

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* 13. Please use this space to provide reasons for your rating.

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* 14. Can I regularly experience good-quality natural space?

Think about the following when considering your rating:

- Is there a variety of natural spaces that are available to people?
- Are there opportunities for people to experience and have contact with nature?
- Is the natural space attractive and well maintained and is there seating for those who need it?
- Is the natural space affected by negative features such as excessive noise or poor air quality?
- Is a range of natural space accessible to everyone, whatever their age, mobility, disability, sex, ethnic group, religious belief or sexuality?

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* 15. Please use this space to provide reasons for your rating.

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* 16. Can I access a range of space with opportunities for play and recreation?

Think about the following when considering your rating:

- What are the opportunities to take part in play and recreation? (You may want to think about specific groups such as teenagers, older people, children with disabilities and so on.)
- Are the spaces and facilities to support play and recreation of good quality, well maintained and used to their full potential?
- Are the spaces and facilities accessible and can everyone afford to use them?
- Are children able to challenge themselves and build their confidence while playing?
- Does the community welcome children playing outdoors?
- Is access to, or the feeling of safety within, spaces and facilities affected by the time of day or year?

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* 17. Please use this space to provide reasons for your rating.

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* 18. Do facilities and amenities meet my needs?

Think about the following when considering your rating:

- Does a range of facilities and amenities meet a variety of different needs (for learning, health, shopping, relaxation, and so on?)
- Can everyone use the facilities and amenities, whatever their age, sex, ethnic group, disability, religious belief or sexuality?
- Are the facilities and amenities within a reasonable distance and easily accessible?
- Are they of good quality and well maintained?
- Are the facilities and amenities being used to their full potential to help to support a healthy lifestyle?

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* 19. Please use this space to provide reasons for your rating.

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* 20. Is there an active local economy and the opportunity to access good-quality work?

Think about the following when considering your rating:

- Is there an active local economy that helps to create different kinds of jobs?
- Are there opportunities for people to gain skills for work, such as education, training and volunteering?
- Can local people access job opportunities, whatever their age, sex, ethnic group, religious belief, sexuality or disability?
- Do local services such as jobcentres, recruitment agencies and affordable childcare help people to find and keep work?
- Are there opportunities and spaces for local businesses to start up and grow?

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* 21. Please use this space to provide reasons for your rating.

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* 22. Do the homes in my area support the needs of the community?

Think about the following when considering your rating:

- Is housing a positive feature of the area?
- Is there a range of good-quality housing available for different sizes of household?
- Is there a range of housing tenancies (rented, privately owned, and so on) to meet different needs of people, whatever their income?
- Do the different housing types work well with one another?
- Does a variety of housing allow people to stay in the area as their needs change, or they grow older?

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* 23. Please use this space to provide reasons for your rating.

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* 24. Is there a range of spaces and opportunities to meet people?

Think about the following when considering your rating:

- Which spaces provide opportunities for people to meet?
- Is there a range of different spaces (indoor, outdoor, purpose-built and more informal) where people can meet?
- Can these spaces be used at different times of the day, throughout the year, and in different types of weather?
- Do people from across the whole community and from different backgrounds mix together and get to know each other?

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* 25. Please use this space to provide reasons for your rating.

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* 26. Does this place have a positive identity and do I feel I belong?

Think about the following when considering your rating:

- Do people view the place positively?
- Are the history, heritage and culture of the place known and celebrated?
 - Do local groups and networks help people feel involved positively in their community?
- Can people feel connected to their neighbours and community, whatever their background?
- Does everyone feel like they belong, whatever their age, sex, ethnic group, religious beliefs, sexuality or disability?

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* 27. Please use this space to provide reasons for your rating.

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* 28. Do I feel safe here?

Think about the following when considering your rating:

 - Are routes safe and well used at different times of the day and throughout the year?
- Are spaces overlooked by buildings that are well used, adding to a feeling of safety?
- Is the area free of empty or derelict property, crime and antisocial behaviour?
- Do people feel safe both at home and when out and about?
- Is the area safe for everyone, whatever their age, sex, ethnic group, religious beliefs, sexuality or disability?

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* 29. Please use this space to provide reasons for your rating.

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* 30. Are buildings and spaces well cared for?

Think about the following when considering your rating:

- Are facilities such as parks, public spaces or public properties well maintained in general?
- Are there any specific problems in the area, such as litter, vandalism, or dog mess?
- Are there good facilities for recycling and refuse storage and is collection well organised?
- Do local authorities, housing associations, landlords and residents know their responsibilities and take action when necessary?
- Is there an effective local residents’ association?

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* 31. Please use this space to provide reasons for your rating.

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* 32. Do I feel able to take part in decisions and help change things for the better?

Think about the following when considering your rating:

- Are people able to contribute to decisions that affect them?
- Is everyone able to contribute, whatever their age, sex, ethnic group, religious belief, sexuality or disability?
- Do local community services or groups allow people to get involved?
- Do organisations such as local authorities, health services or housing associations actively work with the community to understand their needs?
- Do local people feel listened to?

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* 33. Please use this space to provide reasons for your rating.

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* 34. What are the main issues and priorities for change that you have identified?

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