This nonprofit template includes 6 fields. Gather feedback from community members to identify the most pressing needs and gaps in services. Free to customize and use on ZenBuild.
What is your age range? (dropdown selection, optional) — options: Under 18, 18–24, 25–44, 45–64, 65 or older, Prefer not to say
What community challenges concern you most? (Select all that apply) (checkboxes, required) — options: Food insecurity / hunger, Affordable housing, Access to healthcare, Youth education & mentorship, Mental health services, Senior services, Employment & job training
How would you rate the availability of social services in our community? (rating, required)
What is the single biggest unmet need in your neighborhood? (long text, optional)
Have you or someone in your household used a nonprofit service in the past year? (multiple choice, required) — options: Yes, No, Prefer not to say
What new programs or services would benefit your community most? (long text, optional)
