SurveyNGOs / Local Government / Community Groups9 questions · ~5 min

Community Needs Assessment Survey template

This free Community Needs Assessment Survey template helps you find out what a community needs most before planning a programme. It has 9 ready-made questions, takes about 5 minutes to answer, and is anonymous by default. Customise every question, then share it by link, QR code or website embed.

Use this template — freeAll templates

Questions in this template

  1. Village, town or area *
    Short text
  2. How long have you lived here?
    Single choice
    Less than a year · 1–5 years · 6–10 years · More than 10 years
  3. Age group
    Single choice
    Under 18 · 18–24 · 25–34 · 35–44 · 45–59 · 60 or over
  4. Rank these needs from most to least important for your community *
    Ranking
    Clean water and sanitation · Healthcare · Education · Jobs and income · Food security · Safety · Housing
  5. How easy is it to access… *
    Grid (matrix)
    A health clinic · A school · Clean drinking water · Public transport · Mobile or internet signal
  6. Which groups in your community need the most support?
    Multiple choice
    Children · Young people · Women · Older people · People with disabilities · Migrants or displaced people · Other
  7. Do you know of any organisation already helping with these needs?
    Single choice
    Yes · No · Not sure
  8. What is the single biggest change that would improve life here? *
    Long text
  9. How do you prefer to receive information?
    Multiple choice
    WhatsApp · SMS · Community meetings · Radio · Notice boards · Door-to-door visits

* required. Every question is editable.

Recommended settings

Visibility
Unlisted — only people with the link
Responses
Anonymous — not linked to accounts
Results
Only you and your workspace see results
One response per
Browser
Consent notice
Included — edit it to match your policy

Best for: Priority ranking, access to services, anonymous, multilingual.

Industries: NGO & Non-Profit.

Tip: Add your community’s languages under Languages and use offline collection for door-to-door or village surveys.

Best practice for ngo & community impact

  • Explain why you’re asking and that taking part won’t affect anyone’s access to services.
  • Offer the survey in the languages your community speaks — Quibzy supports 21.
  • Use the same questions at baseline and follow-up so you can compare.

Community Needs Assessment Survey: frequently asked questions

What questions should a Community Needs Assessment Survey include?

A good Community Needs Assessment Survey is short and focused. This template asks: Village, town or area · How long have you lived here? · Age group · Rank these needs from most to least important for your community — plus 5 more. Remove anything you won’t act on.

Is the Community Needs Assessment Survey anonymous?

Yes. Responses are anonymous by default and aren’t linked to anyone’s account.

How long does the Community Needs Assessment Survey take to complete?

About 5 minutes — 9 questions. Shorter surveys get more responses.

Can I customise the Community Needs Assessment Survey template?

Yes. Every question, option and setting is editable before you publish, and you can add skip logic, pages, a cover image and translations into 20 more languages, from Chinese, Hindi and Spanish to Arabic, Bengali and Hausa.

How do I share the Community Needs Assessment Survey and see results?

Publish it to get a link, QR code and embed code. Results update live; export to CSV or Excel, print a PDF report, or connect Google Sheets.

Community Needs Assessment Survey template (free) · Quibzy