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Questionnaire template

Neighbourhood Improvement Priorities

Asks residents how satisfied they are with their neighbourhood and where safety, amenities and cleanliness need work.

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Nonprofit · Community. All Nonprofit templates

Questions in this template

Your Overall View

  1. Thank you for helping to improve our neighbourhood. This survey takes about ten minutes and covers several parts of local life.

  2. All things considered, how satisfied are you with the neighbourhood as a place to live?

    Choose one:

    • Very satisfied
    • Satisfied
    • Neutral
    • Dissatisfied
    • Very dissatisfied

Safety and Security

  1. How much do you agree with each statement about safety in the neighbourhood?

    • There is enough street lighting.
    • The neighbourhood watch works well.
    • Residents are kept well informed about safety matters.
    • There is an adequate police presence.

    For each row: choose one:

    • Strongly disagree
    • Disagree
    • Neither agree nor disagree
    • Agree
    • Strongly agree

Amenities and Facilities

  1. Does each of these local facilities meet the needs of residents?

    • Park or playground
    • Gym
    • Community centre
    • Library

    For each row: choose one:

    • Yes
    • Not sure
    • No

Cleanliness

  1. Which places in the neighbourhood need to be kept cleaner?

    Choose any that apply:

    • Streets
    • Parks and playgrounds
    • Community buildings
    • None of these

  2. What problems have you noticed in those places? (optional)

    Condition: Only when at least one place was chosen

    Open answer

Community Life

  1. What kinds of activities or events would help neighbours get to know each other?

    Open answer

Your Ideas

  1. What changes would you most like to see in the neighbourhood?

    Open answer