This printable citizen satisfaction survey helps local councils and community boards gather honest feedback from every resident across 37 questions, including people who never respond to online consultations. The form prints on five pages, one clearly labeled section at a time, and takes about fifteen minutes to complete.
What this survey measures
The survey opens with overall satisfaction with the council, how easy services are to access, and a rating grid for core local services, from waste collection and street cleaning to parks, libraries, leisure facilities, and services for older and younger residents. A safety section measures how safe people feel by day, after dark, and at home, which local problems concern them, and whether the area feels safer than two years ago. A roads and infrastructure section rates road and footpath condition, lighting, parking, public transport, drainage, and connectivity. The council section asks whether residents feel informed, heard, and treated with respect, and whether they have taken part in consultations, and how they prefer to hear from you. Residents then pick their spending priorities, give their view on council tax, say how involved they want to be, and rate the area as a place to live, before a short profile. A neighborhood section then asks about belonging, local involvement and whether residents plan to stay, followed by three open comment boxes.
How to use it on paper
Hand the survey out at town halls, libraries, community centers, and local events, or mail it with a return envelope and leave copies at reception with a drop box for completed forms. Residents fill the checkboxes with a blue or black pen. Collect the forms and scan them in batches: PaperSurvey reads the checkbox answers with optical mark recognition and converts the handwritten comments to text automatically, so results appear in your dashboard without any manual data entry.
Customize this template
Add your council logo, rename the services to match your departments, or add questions about specific neighborhoods or programs. Remove any rows you do not need and the paper layout reflows automatically as you edit, so every copy you print stays scannable.
Preview the PDF above, or use this template to start collecting citizen feedback today.