Survey Rubric

Windshield Survey Tool

Nurses must be able to knowledgeably plan services for individuals, families, and the

community. 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.

Students will create a PowerPoint and a 5-minute presentation for their group’s assigned county.

Presentations will take place at the beginning of class starting in week 5.

Boundaries

Are the boundaries geographical, political, or

economic?

Do neighborhoods have names?

Are there sub-communities?

How are these identified?

4 pts

Notes

Housing and Zoning

What is the age of the buildings? Are the

residences single family or multifamily

dwellings?

4 pts

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?

4 pts

Parks and Recreational Areas

Are there play areas for children and adults?

Are they safe and maintained? Is there a

Community Center? Who uses them?

4 pts

Common Areas

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 posted?

4 pts

Stores

What stores (grocery, retail, drug, dry

cleaning, etc.) are in the area? How do

residents travel to them?

4 pts

Transportation

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,

highways?

4 pts

Communication

Is there evidence of local and national

newspapers to other media? Are there

informational posters on streets, buses,

billboards, etc.?

4 pts

Service Centers

What services are available in the community

– health care, social services, schools,

employment offices etc.?

4 pts

People in the Community

Who is in the area during the day? What

evidence is there of particular “classes” of

people – upper, middle, working, lower?

4 pts

Industries

What are the major industries located in the

area? What types of occupations are evident?

4 pts

Protective Services

Where are fire and police stations located? Is

there evidence of police and fire protection in

the area?

4 pts

Ethnicity

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)?

4 pts

Religion

What churches and church-run schools are in

the area (denomination)? How many are there

of each denomination?

4 pts

Health and Morbidity

Is there evidence of any health problems such

as drug/alcohol abuse, communicable or

chronic diseases, mental illness (etc.)?

4 pts

Politics

Is there evidence of political activity? Are

there any signs that indicate a predominant

political party (parties)or concern(s)?

4 pts

________/64 points

Now that you have collected your data, go to,

https://www.countyhealthrankings.org/reports/2023-county-health-rankings-national-findings-

report and collect information about your county that you explored. Place the answers to each of

your assessment items in a PowerPoint with 1 assessment topic per slide.

Use information from the website to support or question the data that you spotted. Give detailed

information about the county you assessed by answering the following questions?

In the county you assessed: (look at 2023 data) Compare your county with TN and with US

data

What are the leading causes of death? 1pt

What percent of residents self-report poor or fair health? 1pt

How many average days in a month do residents report that they are physically ill? 1pt

How many average days in a month do residents report that they are in poor mental health? 1pt

What percentage of residents are smokers? 1pt

What percent of residents are obese? 1pt

What percent of babies are born with low birth weight? 1pt

What percent of residents receive annual flu shots? 1pt

What percent of residents are uninsured? 1pt

What percent of residents complete high school? 1pt

What is the unemployment rate? 1pt

What percent of children in this county live in poverty? 1pt

What is the rate of air pollution – particulate matter? 1pt

What is the percentage of residents with severe housing problems? 1pt

________________/14 points

Based on your findings what would the goals for improving health in this county be and how can

nursing help them meet these goals? Must have action plan and be specific. 6 points

____________/6 points

Grammar and spelling

2 pts

Appearance of PowerPoint

Easy to follow and appears professional

2 pts

Professional appearance of group

In clinical attire or professional clothing

2 pts

Presentation length

Presentation to be no less than 5 minutes and

no more than 10 minutes

2 pts

Presentation divided equally

All members are expected to speak equally in

the presentation.

2 pts

Group photo in county

Group is expected to conduct windshield

survey as a group and will need to provide a

group photo of all members in the county

assigned

2 pts

APA reference page

If data is collected (statistical, informational,

geographical), then a reference page using

APA format to document is expected

2 pts

Attentiveness to other presentations

Full attention is expected during all

presentations.

2 pts

_______/16 points

Total points: ___________/100