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Community Feedback Form Document Template

Form that collects public input on municipal projects, services, or proposals.

Community Feedback Form

Purpose: This form is intended to collect valuable public feedback on current or upcoming municipal projects, services, or proposals. Gathering input from community members helps ensure that local government decisions reflect the needs and priorities of residents.

Participant Information

Full Name: {fullName}

Email Address: {email}

Phone Number: {phoneNumber}

Zip Code: {zipCode}

Age: {age}

Feedback Details

Project or Proposal Name: {projectName}

Date of Input: {submissionDate}

Are you directly affected by this project or service? {isDirectlyAffected}

Your Feedback

{feedbackText}

Suggestions for Improvement

{#suggestions}

  • {suggestionItem}

{/suggestions}

Additional Participants (if responding on behalf of a group)

Full Name Role/Relationship Contact Email
{#participants}{name} {role} {email}{/participants}

Contact Consent

May we contact you for follow-up or clarification?

{#mayContact}

Preferred Method: {preferredContactMethod}

Best Time to Reach You: {bestContactTime}

{/mayContact}

Thank you for taking the time to contribute your feedback. Your voice matters.

This document template includes dynamic placeholders for automated document generation with Documentero.com. Word Template - Free download

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Use Cases

Automate Community Feedback Form Using Forms

collect community feedback on public transportation improvements via online form
gather resident opinions on proposed zoning changes using digital feedback form
conduct public surveys for park development projects through shareable form
collect citizen input on city budget priorities using web-based form
capture public comments on new infrastructure proposals using feedback portal

Generate Community Feedback Form Using APIs

auto-generate community feedback form when new municipal proposal is published
create feedback forms via API for each upcoming city town hall meeting
generate public input form programmatically for new infrastructure projects
trigger form creation from citizen engagement system through API
dynamically create feedback documents for municipal service reviews using API

Integrations / Automations

create community feedback form automatically from Google Calendar event using Zapier
generate feedback forms from Airtable project tracker using Make automation
auto-populate public input forms with proposal data from Trello via integration
trigger feedback form generation from new row in Google Sheets using Zapier
send completed feedback form data to Microsoft Teams via automated workflow

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