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Questionnaire template

Community Priorities

Captures residents' most pressing local issues, safety and resource ratings, and priorities for community development.

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Nonprofit · Community. All Nonprofit templates

Questions in this template

Issues Facing the Community

  1. Thank you for taking part. Your answers help us focus our work on what matters most to local residents.

  2. Which issues are the most pressing in our community at the moment? Select up to three.

    Choose any that apply:

    • Safety and crime
    • Roads and infrastructure
    • Environment
    • Health care
    • Education
    • Other

  3. Which other issue is pressing?

    Condition: Only when Other was selected

    Open answer

  4. How would you rate safety in our community overall?

    Choose one:

    • Excellent
    • Good
    • Fair
    • Poor
    • Very poor

Community Resources

  1. How satisfied are you with each of these local resources?

    • Public parks
    • Libraries
    • Community centres
    • Health centres
    • Public schools

    For each row: choose one:

    • 1 - Very dissatisfied
    • 2
    • 3
    • 4
    • 5 - Very satisfied
    • Don't use

Looking Ahead

  1. What changes would you most like to see in our community over the next five years?

    Open answer

  2. If extra funds became available, which area should get them first?

    Choose one:

    • Health facilities
    • Crime prevention
    • Schools and education
    • Infrastructure
    • Environmental protection