SayPro Community Needs Survey Template

SayPro A structured template for gathering feedback from community members about their needs and concerns.

SayPro Demographic Information:

1. Age Group:
   • Under 18
   • 18-24
   • 25-34
   • 35-44
   • 45-54
   • 55-64
   • 65 and over
2. Gender:
   • Male
   • Female
   • Non-binary
   • Prefer not to say
3. Location (City/Region):

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SayPro Community Needs and Concerns:

1. What are the top 3 issues that affect you or your family in the community? (Please select up to 3 options)
   • Affordable housing
   • Healthcare access
   • Employment opportunities
   • Public safety
   • Education quality
   • Transportation
   • Mental health resources
   • Homelessness
   • Environmental concerns
   • Senior services
   • Youth services
   • Other (please specify): __________
2. What additional services or resources would you like to see offered in the community?
   (Open-ended)
3. Do you feel that the current community programs or services meet the needs of the population?
   • Yes
   • No
   • Not sure If no, please explain: __________
4. How would you rate the overall quality of life in your community?
   • Excellent
   • Good
   • Fair
   • Poor

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SayPro Community Engagement:

1. How often do you participate in community activities or events?
   • Regularly
   • Occasionally
   • Rarely
   • Never
2. What would motivate you to get more involved in the community?
   (Open-ended)

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SayPro Feedback on Local Organizations:

1. Are there any local organizations or groups that you feel provide exceptional service to the community?
   (Open-ended)
2. What is one thing that could be improved in your community to make it a better place for all?
   (Open-ended)

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SayPro Additional Comments:

Please share any other thoughts, concerns, or ideas that would help improve the community.
(Open-ended)

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Thank you for your time and input! Your feedback helps guide future improvements in our community.