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Windshield Survey Tool
Nurses must be able to knowledgeably plan services for individuals, families and the community.
In order to effectively plan, it is essential that you are aware of the resources specific to the
community a client resides in to allow for identification of health-related resources and to
understand gaps in services. A windshield survey is conducted from a car and provides a visual
overview of a community. Conditions and trends in the community that could affect the health of
the population should be noted. This data provides background and context for working with
individuals and families in their community. Information gathered from this survey should be
added to this template. If data is collected (statistical, informational, geographic), then a
reference page using APA format (6th edition) is expected.
Are the boundaries geographical,
political, or economic?
Do neighborhoods have names?
Are there sub-communities?
How are these identified?
Housing and Zoning
What is the age of the buildings? Are
the residences single family or
Signs of Decay
Is the area well maintained or in
disrepair? Is there garbage strewn?
Are there trashed/abandoned cars,
places for rodents or other wildlife to
hide, vacant lots?
Parks and Recreational Areas
Are there play areas for children and
adults? Are they safe and maintained?
Is there a Community Center? Who
Where do people collect for social
gatherings; where do they “hang out”?
Are they for particular groups or are
they open to all? Are there signs
What stores (grocery, retail, drug, dry
cleaning, etc.) are in the area? How do
residents travel to them?
How do most people get around the
area? Is there public transportation? If
so what kind and does it appear to be
used? Who uses it? What is the
condition of the streets, roads,
Is there evidence of local and national
newspapers to other media? Are there
informational posters on streets,
busses, billboards, etc.?
What services are available in the
community – health care, social
services, schools, employment offices
People in the Community
Who is in the area during the day?
What evidence is thereof particular
“classes” of people – upper, middle,
What are the major industries located
in the area? What types of occupations
Where are fire and police stations
located? Is there evidence of police
and fire protection in the area?
What is the predominant ethnic group?
Are there residents from a variety of
ethnic backgrounds or is the
community mostly one group? Which
one? Are there stores, restaurants,
churches, schools, or languages that
indicate a particular ethnic group(s)?
What churches and church-run schools
are in the area (denomination)? How
many are there of each denomination?
Health and Morbity
Is there evidence of any health
problems such as drug/alcohol abuse,
communicable or chronic diseases,
mental illness (etc)?
Is there evidence of political activity?
Are there any signs that indicate a
predominant political party (parties)or
What effect has COVID19 had on your community?
What effect has it had on shopping?
5 Pictures of the community.
1 Image of the zip code of the area.