SurveyNGOs5 questions · ~4 min

Programme Impact Survey template

This free Programme Impact Survey template helps you evaluate outcomes and participant-reported change. It has 5 ready-made questions, takes about 4 minutes to answer, and is anonymous by default. Customise every question, then share it by link, QR code or website embed.

Use this template — free All templates

Questions in this template

When are you answering? *
Single choice
Start of the programme (baseline) · During the programme · End of the programme · 6+ months after
How would you rate your… *
Grid (matrix)
Confidence · Skills in this area · Access to support · Overall wellbeing
How much has the programme helped you so far?
Rating scale
What is the most important change for you?
Long text
What should we do more of, or differently?
Long text

* 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: Baseline/follow-up fields, privacy controls.

Tip: Use the same survey at the start (baseline) and end (follow-up), then compare results by date range.

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.

Programme Impact Survey: frequently asked questions

What questions should a Programme Impact Survey include?

A good Programme Impact Survey is short and focused. This template asks: When are you answering? · How would you rate your… · How much has the programme helped you so far? · What is the most important change for you? — plus 1 more. Remove anything you won’t act on.

Is the Programme Impact Survey anonymous?

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

How long does the Programme Impact Survey take to complete?

About 4 minutes — 5 questions. Shorter surveys get more responses.

Can I customise the Programme Impact 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.