Community Needs Assessment Survey for Nonprofits

Community Needs Assessment Survey for Nonprofits — Form Fields

This nonprofit template includes 7 fields. Nonprofits gather community input to identify service gaps and prioritize program development. Free to customize and use on ZenBuild.

• Your Neighborhood or Zip Code (text, required)
• Age Range (dropdown selection, required) — options: Under 18, 18-24, 25-34, 35-44, 45-54, 55-64, 65 and Over
• Community Challenges You Experience (checkboxes, required) — options: Housing Insecurity, Food Insecurity, Lack of Childcare, Transportation, Employment, Mental Health Services, Language Barriers
• Services You Currently Use (checkboxes, optional) — options: Food Bank, Job Training, Housing Assistance, Youth Programs, Senior Services, None
• How well does this organization serve your needs? (rating, required)
• What services do you wish were available? (long text, required)
• Would you be willing to be contacted for follow-up? (multiple choice, optional) — options: Yes, No