🏘️ Constituency Needs Assessment

Questions in this template

Every question is editable — change the wording, add or remove questions, and set your own required fields.

1. 1

   What is the most pressing problem in your area?*

   Single choice

   • Roads & infrastructure
   • Water & sanitation
   • Electricity supply
   • Healthcare access
   • Schools & education
   • Unemployment
   • Safety & crime
   • Pollution
2. 2

   How would you rate the quality of basic civic services in your area?*

   Rating

3. 3

   How often does your local representative visit or address your area?

   Single choice

   • Regularly
   • Occasionally
   • Rarely
   • Never
4. 4

   Has your locality received any development work in the last 2 years?*

   Yes / No

5. 5

   What one improvement would make the biggest difference to your daily life?*

   Text answer

6. 6

   How informed do you feel about government schemes available to you?

   Rating