Name _______________________ Date(s) _________________________
Where did you walk? _____________________ Time __________________
1. How many people do you see who are:
2. How many people are:
What else are people doing?
3. Is this place:
Safe _______ Clean _______ Friendly _______ Healthy _______ Pleasant _______
4. Is there anything you want to change about your neighbourhood? What? Why?
Adapted from Literacy for Empowerment: A Resource Handbook for Community Based Educators by the Association for Community Based Education.