Accessibility survey form

Fill it in on site. If you do not know an answer choose "Not sure". Reports are only accepted through this online form (the PDF/Word questionnaire in Documents is only a reference for surveying by yourself). The questionnaire follows the photo positions: B Overview, C Entrance, D Main door, E Lift, F Toilet. Photos at 3 required positions are needed (overview, entrance, main door); lift and toilet are optional. At most 5 photos per position, at least 5 in total. An administrator cross-checks and approves the report (no retyping), then the place appears on the map.

Your draft is saved on your device automatically (photos are not included).

Priority: the project gives priority to surveys done together with a wheelchair user, with photos showing this (that person must agree to being photographed and to the photos being used; photos showing them go into the public photos only if they agree to publication, otherwise use the Extra photos). These reports are cross-checked and approved first.

A. General information

City / province *

Type of place *

Place name *

Address *

Latitude * (filled by GPS)

Longitude * (filled by GPS)

Survey date *

Surveyor (name or nickname) *

Coordinates are only accepted from GPS, not typed in: this is the proof that you were at the place. Stand right at the main entrance, outdoors, then press the button below.

A2. Survey together with a wheelchair user (priority)

Is a person who uses a wheelchair surveying together with you?

Yes No Not sure

Has that person agreed to be photographed and to the photos being used by the project?

Yes No Not sure

Is there at least 1 photo showing that person (with their consent) at the entrance, door or toilet? Use it as a public photo only if they agree to publication, otherwise put it in the Extra photos (take an illustrative photo)

Yes No Not sure

C. Entrance

Photo for this section: Entrance (required), upload it in the "Public photos" section below.

Number of steps at the main entrance (0 if none)QCVN 10:2024/BXD, clause 2.2.2; 2.2.5 (steps) (take an illustrative photo)

Height of the highest stepQCVN 10:2024/BXD, clause 2.2.5 (≤ 150 mm) (cm)

Is there a ramp instead of the steps?QCVN 10:2024/BXD, clause 2.2.2; 2.2.3 (take an illustrative photo)

Yes No Not sure

Slope of the rampQCVN 10:2024/BXD, clause 2.2.3 (≤ 1/12)

No steeper than 1/12 Steeper than 1/12

Width of the rampQCVN 10:2024/BXD, clause 2.2.3 (≥ 1.200 mm) (cm)

If the main entrance is not accessible: is there another entrance?

Yes No Not sure

Where is the other entrance?

D. Main door

Photo for this section: Main door (required), upload it in the "Public photos" section below.

Clear width of the main door (measured from the inner edge, with the door fully open)QCVN 10:2024/BXD, clause 2.3.1 (entrance door ≥ 900 mm; inner rooms ≥ 800 mm) (cm) (take an illustrative photo)

Door typeQCVN 10:2024/BXD, clause 2.2.6 (no revolving door)

Automatic Easy to push Heavy, hard to open

Threshold at the main entranceQCVN 10:2024/BXD, clause 2.2.6 (no threshold)

No threshold Yes, up to 2 cm high Yes, over 2 cm high

E. Lift (if any)

Photo for this section: Lift (optional), upload it in the "Public photos" section below.

Is there a lift to the floors?QCVN 10:2024/BXD, clause 2.4

Yes No Not sure

Width of the lift doorQCVN 10:2024/BXD, clause 2.4.1 (≥ 900 mm) (cm)

Height of the lift control panel inside the car: HIGHEST button (floor of the lift to the centre of the button). To know whether a wheelchair user can reach the buttonsQCVN 10:2024/BXD, clause 2.4.4 (highest button ≤ 1200 mm) (cm) (take an illustrative photo)

Height of the lift control panel inside the car: LOWEST button (floor of the lift to the centre of the button) (cm)

Do the lift buttons have raised characters (Braille or tactile symbols) for blind users?QCVN 10:2024/BXD, clause 2.4.4

Yes No Not sure

Public photos: overview and key positions

3 positions are required (Overview, Entrance, Main door), 2 are optional (Lift, Toilet). At most 5 photos per position, and at least 5 photos in total. The photos appear on the place's detail page after an administrator has looked at and approved them; they are automatically converted to WebP to keep them light. Overview photos must be taken in landscape, 16:9 (an administrator picks one of them as the cover). Do not show clear faces without the person's consent, and do not show licence plates or documents. Put a tape measure in the frame for the door and toilet photos if you can.

Overview required

The whole front of the place, taken in landscape 16:9. Drag the photo you want as the cover to the first position. Up to 5 photos.

Main entrance required

Steps and ramp if any; put a tape measure in the frame if you can. Up to 5 photos.

Main door required

The door width must be visible; put a tape measure in the frame if you can. Up to 5 photos.

Lift optional

Only needed if the place has a lift. Up to 5 photos.

Toilet optional

The accessible toilet if there is one. Up to 5 photos.

Do any of the public photos show a person's face clearly? *

No, no face is clearly visible Yes, and those people agreed to the photo being published

I confirm the photos above show no one's face without their consent and no private information, and I agree that the project publishes these photos with the place. *

Extra photos (optional, not published)

Add photos for the administrators to cross-check (for example photos with a wheelchair user, or other areas), up to 12. These photos are not published.

G. Overall accessibility level

Your choice *

Fully accessible Partly accessible Not accessible

Comment (one sentence)

Declaration I declare that the measurements and photos are genuine and that I have not accepted money or gifts to change the result. * I agree to hand the content of this report and its public photos to the Project under the ODbL 1.0 open licence. The Project may add the information to Google Maps and OpenStreetMap and keep it after I delete my account (my name is then removed). *