Public · free template

Public Consultation Survey

Gather resident views on a proposal with structured, reportable answers.

Questions
16
Pages
4
Layouts
card · classic
Conditional rules
3
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About this template

Consultations only carry weight if the responses can be analysed and defended, and this survey is structured so the results can be reported as numbers rather than a pile of comments. It opens by explaining the proposal and the consultation period, then establishes the respondent's connection to the area — resident, worker, business owner, visitor or representative of a group — and their postcode district for geographic analysis. Core questions measure overall support on a five-point scale, then break the proposal into its components so you can see which elements drive opposition. Respondents rate impact on traffic, noise, green space, accessibility and local business, and rank their priorities. Open questions ask what would improve the proposal and what concerns have not been addressed, which is where the genuinely useful material appears. Optional equality monitoring questions are clearly marked as voluntary. Because the whole survey is one question per screen, completion rates on mobile are far higher than a long single-page form, and every answer exports cleanly for the consultation report.

What this form asks

Every question is editable — rename it, make it optional, or delete it entirely.

Page 1 — About the consultation

  • Your connection to the arearequired
  • Which organisation are you representing?
  • Postcode district

Page 2 — Your view

  • Overall, do you support the proposal?required
  • How well informed do you feel about the proposal?
  • Which parts do you support?
  • What are your main concerns?

Page 3 — Expected impact

  • Impact on traffic and parkingrequired
  • Impact on noise and disruptionrequired
  • Impact on green spacerequired
  • Impact on accessibilityrequired
  • Impact on local businessrequired

Page 4 — Anything else

  • What single change would most improve the proposal?
  • Anything we have not asked about?
  • Would you like to be told the outcome?required
  • Email addressrequired

16 questions in total.

Conditional logic included

  • WhenOverall, do you support the proposal?is Oppose or strongly oppose, requireWhat are your main concerns?”.
  • WhenYour connection to the areais Representing a group or organisation, requireWhich organisation are you representing?”.
  • WhenWould you like to be told the outcome?is Yes, requireEmail address”.

Works in both layouts

Frequently asked questions

Can the results be exported for a report?
Yes — every response exports to CSV with one column per question, and the analytics view charts the scaled questions for you.
Can we include equality monitoring?
Add optional demographic questions on a final page and mark them clearly as voluntary.
How do we stop duplicate responses?
Limit responses per browser session, require an email address, or issue a unique link per household.
Can we run it as a paper form too?
Print the form and enter paper responses through the same form so all results sit in one dataset.