Sample human rights survey

Sample survey for collecting human rights information about your city or community:

• Question 1: What are the three most important human rights issues for [city/community name]? (Please select up to 3)
  • Criminal justice
  • Discrimination, inequity and inequality
  • Education
  • Food security
  • Freedom of expression and assembly
  • Gender-based violence
  • Health
  • Housing and homelessness
  • Immigration and asylum
  • Jobs and labor standards
  • Police abuses and failure to protect people
  • Poverty and economic inequality
  • Transportation
  • Voting rights and political representation
  • Other

• Question 2: Please tell us which one of the previously listed human rights issue is the most important for [city/community name] to address and why?

• Question 3: Do you see any examples of where our public officials are taking steps to improve human rights in our community? Please identify examples of positive changes in our area.

• Question 4: Do you have any recommendations for change/s that will help our city/community improve its human rights record?