Community Needs Assessment Survey - Alternative

Community Needs Assessment Survey - Alternative — Form Fields

This surveys template includes 7 fields. Identify the priorities, challenges, and needs of a community to guide programs, services, and resource allocation. Free to customize and use on ZenBuild.

• How long have you lived or worked in this community? (multiple choice, required) — options: Less than 1 year, 1–5 years, 5–10 years, More than 10 years
• Which community issues are most important to you? (checkboxes, required) — options: Affordable housing, Public safety, Access to healthcare, Education and youth programs, Economic development and jobs, Parks and recreational spaces, Transportation and infrastructure
• Overall, how satisfied are you with the quality of life in your community? (rating, required)
• How would you rate access to essential services (healthcare, transport, etc.)? (multiple choice, required) — options: Excellent, Good, Fair, Poor
• How engaged do you feel in local community decision-making? (multiple choice, optional) — options: Very engaged, Somewhat engaged, Not very engaged, Not at all
• What is the single most important change or investment that would improve your community? (long text, optional)
• Email address (optional, if you'd like to be contacted about results) (email, optional)