Week 3
Practicum Project: Community and
Environment Assessment Worksheet
Name: Marissa Fagundes Date: 9/18/2024
Directions: A windshield or walking survey is a critical component of the Practicum
Project. Complete this worksheet to conduct a systematic observation of your
community environment. It is recommended to repeat the assessment more than
once to capture an accurate picture of the community. Use this worksheet to
complete the Week 3 Discussion.
Community Information
Provide a brief description of the community information.
Community Information
Name of city or town and Sandwich, MA
state
Type of community (rural, Suburban
suburban, urban)
Description of the Sandwich is one of the oldest towns on Cape Cod.
community in 2-3 The town is located by the sea with rocky beaches,
sentences full of history, and is a quiet place to live.
Windshield Survey
Place an “X” in the appropriate box based on observations.
People in the Community None Some Many
1-4 5 or more
Did you observe:
• *pregnant women X
• *infants (under the age of 1 year old) X
• *young children (1- 5 years old) X
• *school-age children (6 -18 years old) X
• adults (18 – 60 years old) X
• *older adults (over the age of 60 years old) X
• people exercising X
• people driving X
© 2023. Chamberlain University LLC. All rights reserved.
1
6.13.23
Practicum Project: Community and
Environment Assessment Worksheet
Name: Marissa Fagundes Date: 9/18/2024
Directions: A windshield or walking survey is a critical component of the Practicum
Project. Complete this worksheet to conduct a systematic observation of your
community environment. It is recommended to repeat the assessment more than
once to capture an accurate picture of the community. Use this worksheet to
complete the Week 3 Discussion.
Community Information
Provide a brief description of the community information.
Community Information
Name of city or town and Sandwich, MA
state
Type of community (rural, Suburban
suburban, urban)
Description of the Sandwich is one of the oldest towns on Cape Cod.
community in 2-3 The town is located by the sea with rocky beaches,
sentences full of history, and is a quiet place to live.
Windshield Survey
Place an “X” in the appropriate box based on observations.
People in the Community None Some Many
1-4 5 or more
Did you observe:
• *pregnant women X
• *infants (under the age of 1 year old) X
• *young children (1- 5 years old) X
• *school-age children (6 -18 years old) X
• adults (18 – 60 years old) X
• *older adults (over the age of 60 years old) X
• people exercising X
• people driving X
© 2023. Chamberlain University LLC. All rights reserved.
1
6.13.23
