---
generated_by: surveylegend-page-markdown
title: Neighborhood Feedback Survey Template | SurveyLegend
description: Prioritize one frequently used neighborhood place with seven
  questions about use, quality, issue type, impact, priority and a practical
  change.
canonical: https://www.surveylegend.com/survey-examples-templates/political-public-opinion/neighborhood-feedback-template/
---

# Neighborhood Feedback Survey Template

Connect neighborhood feedback to a place people actually use. Seven optional questions combine use frequency, perceived quality, issue type, everyday impact, priority and one practical change for the next planning review.

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**SurveyLegend** 1 / 7

Neighborhood Feedback Survey

Which type of place or service are you commenting on?

Street or crossing

Park or open space

Public transport stop or route

+4 more answer choices

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Neighborhood Feedback Survey [Preview](https://www.surveylegend.com/survey-examples-templates/political-public-opinion/neighborhood-feedback-template/#try-template)

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Connect neighborhood feedback to a place people actually use. Seven optional questions combine use frequency, perceived quality, issue type, everyday impact, priority and one practical change for the next planning review.

## What is a Neighborhood Feedback Survey?

A neighborhood feedback survey gathers place-based experience from residents and other local users. A focused version asks about one frequently used place or service so limited planning or maintenance resources can be discussed with clearer context.

## When to use this template

Use this template before a neighborhood plan, maintenance cycle or community meeting when the organizer can explain what feedback will influence. It is not an emergency line or service-request tracker. Close the loop by publishing how responses were reviewed and what happens next.

**Create your neighborhood feedback survey in SurveyLegend**

A neighborhood feedback survey gathers place-based experience from residents and other local users. A focused version asks about one frequently used place or service so limited planning or maintenance resources can be discussed with clearer context.

## Seven optional questions

Use these seven questions as a focused starting point. Every question is optional so the creator can preserve the exact set, remove an item that does not fit the context, or adapt choices before sharing. The template is original editorial content, not a validated scale.

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## A little feedback. A clearer picture.

Explore this 7-question example at your own pace. Every question is optional.

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SurveyLegend demo Question 1 of 7

### Neighborhood Feedback Survey

01 Which type of place or service are you commenting on?

Choose one answer, or skip this question.

Street or crossing Park or open space Public transport stop or route Community facility Shops or local services Public lighting or cleanliness Another place or service

02 How often do you use it?

Choose one answer, or skip this question.

Daily Several times a week About weekly About monthly Less often This was my first use

03 How would you rate its current quality?

Choose one answer, or skip this question.

Very poor Poor Neither poor nor good Good Very good Not sure

04 What is the main issue or opportunity?

Choose one answer, or skip this question.

Access Safety or comfort Maintenance Cleanliness Mobility or connections Activities or amenities Another issue

05 How much does this affect your everyday experience?

Choose one answer, or skip this question.

Not at all A little A moderate amount A lot A great deal Not sure

06 How soon should it enter a planning or maintenance review?

Choose one answer, or skip this question.

Next available review Within the next year Longer-term planning Monitor only Not sure

07 Which location and one practical change should reviewers consider?

Share your answer, or skip this question.

#### One last look

Review your answers before submitting this demo.

0 answered

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## How to adapt it

Replace place types with the neighborhood's actual decision scope and explain whether the survey concerns planning, maintenance or programming. If a map is later added, complete privacy and accessibility review first and avoid collecting exact personal routes. Translate and provide offline access where the engagement plan requires it. Review [sensitive questions ](https://www.surveylegend.com/survey-questions/sensitive-survey-questions/)and [open-ended analysis ](https://www.surveylegend.com/how-to-analyze-survey-results/open-ended-data/)before launch. Keep each item tied to the stated task and avoid collecting data that the decision does not require.

## Printable PDF version

Use the printable version at a community meeting, engagement table or neighborhood walk. It includes the same seven optional questions and writing space. Explain where completed forms should be returned and how they will be reviewed.

![First page of the printable Neighborhood Feedback Survey Template with questions and answer spaces](https://www.surveylegend.com/survey-template-media/pdf-previews/neighborhood-feedback-template-pdf-preview.avif)

[![](https://www.surveylegend.com/user-guide-media/icons/download-pdf.svg) Download printable PDF](https://www.surveylegend.com/downloads/survey-templates/neighborhood-feedback-survey-template.pdf)

Export PDF version as PDF

## Create it with an AI assistant

Use the complete prompt below with an AI assistant to draft this questionnaire, then register with SurveyLegend and build or customize the survey. Compare the result with the exact questions and settings before sharing. Copying the prompt does not transfer it into SurveyLegend.

## AI prompt

Create it with an AI assistant

[Create this survey in SurveyLegend](https://www.surveylegend.com/register/)

Copy the prompt into an AI assistant to draft the questions, then build your survey in SurveyLegend.

[Sign in](https://app.surveylegend.com/login/) to SurveyLegend

## How to interpret responses

Prioritize with more than raw vote totals. Cross-tab place type, use frequency, quality, everyday impact and proposed review timing; then code the open answer into location and change themes. Preserve minority and accessibility concerns, document who was underrepresented and compare suggestions with feasibility and equity evidence before deciding.

Kyttä and colleagues developed a place-based planning model using “frequency of use and perceived quality of everyday places” to identify priority categories from participatory data in Espoo, Finland. That approach supports combining use and quality here, but the study used public-participation GIS and does not validate this non-map survey. See [Kyttä et al. ](https://research.aalto.fi/en/publications/prioritizing-participatory-planning-solutions-developing-place-ba/).

## Frequently asked questions

### Should the survey ask for a home address?

No. Define the neighborhood and ask about a place or service without collecting a respondent's exact residence or routine.

### Do the most votes determine the project?

Not by themselves. Combine frequency, quality, impact, equity, feasibility and representation before making a decision.

### How should organizers close the feedback loop?

Publish what was heard, how responses were reviewed, which decisions were influenced and why some suggestions cannot proceed yet.

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5. [![Preview of the Park Visitor Survey demo showing its first question and answer choices](https://www.surveylegend.com/survey-template-media/previews/park-template-preview.avif) Park Visitor Survey Template Politics & public opinion Visitors may use the same park for walking, play, or quiet time. Start with their main activity and recent use before asking what needs attention. Include people who have not visited so barriers are not lost.](https://www.surveylegend.com/survey-examples-templates/political-public-opinion/park-template/)
6. [![Preview of the Death Penalty Survey Template showing its first question and answer choices](https://www.surveylegend.com/survey-template-media/previews/death-penalty-template-preview.avif) Death Penalty Survey Template Politics & public opinion An overall position does not explain how someone thinks about individual circumstances. Create this questionnaire in SurveyLegend to collect those distinctions respectfully, without graphic examples or assumptions about what a respondent ought to believe.](https://www.surveylegend.com/survey-examples-templates/political-public-opinion/death-penalty-template/)
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