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Community Needs Assessment · Featured

Identify Neighborhood Gaps with a Community Needs Survey

Gather resident input on neighborhood service gaps, resource priorities, and barriers to access to inform smarter community planning decisions.

Use This Template Free Preview

Teal theme

formbuilder.ai/f/neighborhood-services-resource-gap-community-needs-assessment-survey

Neighborhood Services & Resource Gap Community Needs Assessment Survey

Full Name

· · ·

Email Address

· · ·

Your Neighborhood / Area of Resi

· · ·

Submit

The Neighborhood Services & Resource Gap Community Needs Assessment Survey is a comprehensive tool designed to help local governments, nonprofits, and community organizations understand the real needs of residents. It captures demographic background, household profiles, and satisfaction ratings for existing services, giving planners a clear picture of what's working and what's falling short.

This template is ideal for city planners, neighborhood associations, social service agencies, and community development organizations seeking data-driven insights. It covers critical areas including service satisfaction, resource gap identification, access barriers, and resident willingness to engage in follow-up planning activities—ensuring a well-rounded view of community priorities.

By deploying this survey, organizations can prioritize resource investments, apply for grants with supporting evidence, and foster greater civic engagement. The structured ranking and open-ended questions ensure both quantitative and qualitative data are captured, empowering decision-makers to take meaningful, community-informed action.

4 Pages

19 Questions

~6min To complete

Free No credit card needed

Field types Long Text ×4 Dropdown ×3 Multiple Choice ×2 Single Choice ×2 Full Name Email Address choicematrix Likert Scale ranking NPS Score termsandconditions

Questions in this template

Free template

The exact questions included — customize any of them to fit your needs.

Page 1 About You & Your Neighborhood 7 questions

Your Background & Community Profile

1 Full Name Full Name

2 Email Address Email

3 Your Neighborhood / Area of Residence * Address

4 How long have you lived in this neighborhood? * Dropdown

5 Age Range * Dropdown

6 Household Size * Dropdown

7 Do any of the following apply to your household? (Select all that apply) Multiple Choice

Page 2 Current Services & Satisfaction 3 questions

Evaluating Existing Neighborhood Services

Please rate your satisfaction with the following services currently available in your neighborhood.

1 Service Satisfaction * choicematrix

2 Overall, how well do existing services meet your household's daily needs? * Likert Scale

3 Which existing service do you value most and why? Long Text

Page 3 Identifying Resource Gaps & Priorities 4 questions

Resource Gaps & Community Priorities

Help us understand which services or resources are most lacking in your neighborhood.

1 Rank the following resource areas by how urgently they need improvement in your neighborhood * ranking

2 What barriers prevent you or your neighbors from accessing needed services? (Select all that apply) * Multiple Choice

3 How likely are you to recommend your neighborhood as a good place to live based on available services? * NPS Score

4 Would you be willing to participate in a follow-up community planning meeting? Single Choice

Page 4 Open Feedback & Submission 5 questions

Your Voice Matters

1 What single improvement would have the greatest positive impact on your neighborhood? * Long Text

2 Are there any services or resources available in neighboring areas that you wish existed in your community? Long Text

3 Any additional comments, concerns, or suggestions for local decision-makers? Long Text

4 How did you hear about this survey? Single Choice

5 I consent to my responses being used anonymously for community planning purposes. * termsandconditions

How to use this template

Click "Use This Template Free" to open it in the FormBuilder editor. From there you can add, remove, or reorder fields with drag-and-drop, switch themes for instant restyling, add your logo, configure email notifications, and set your success message. When ready, publish with a unique link and start collecting responses immediately.