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Questionnaire template

Community Needs Assessment

Assesses residents' views of their community, use of local services, perceived service change and priority improvement needs.

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Nonprofit · Community. All Nonprofit templates

Questions in this template

Living in the Community

  1. Thank you for taking part. Your answers help us understand what residents need most from their community.

  2. How long have you lived in this community?

    Choose one:

    • Less than a year
    • 1-5 years
    • 6-10 years
    • More than 10 years

  3. Overall, how would you rate this community as a place to live?

    Choose one:

    • Very poor
    • Poor
    • Fair
    • Good
    • Very good

Local Services

  1. Which of these local services do you use? Select all that apply.

    Choose any that apply:

    • Waste and recycling collection
    • Parks and recreation
    • Public transport
    • Libraries
    • Police and emergency services
    • None of these

  2. Over the past year, has the quality of the services you use changed?

    Condition: Only for residents who use at least one service

    Choose one:

    • Improved
    • Stayed the same
    • Got worse
    • Not sure

Where Improvement Is Needed

  1. In which areas does this community most need to improve?

    Open answer

About You

  1. These answers are confidential and are used only to analyse the results.

  2. What is your gender?

    Choose one:

    • Female
    • Male
    • Prefer not to say

  3. How old are you?

    A number from 18 to 110