Public consultation response form template
Neutral consultation on a proposal: awareness, support, concerns, alternatives and who is responding.
6 questions · about 4 minutes to complete · free on every plan
Free account required. The template is copied into your workspace; edit anything before publishing.
- When to use it
- During a formal consultation period.
- Who it is for
- Residents, businesses and organisations.
How to use this template
- Offer accessible and translated versions.
- Keep consultation questions neutral; do not lead.
- Publish results and decisions.
Questions in the public consultation response form template
1. You are responding as…
single choice · A resident, A local business, An organisation, A visitor, Other
2. How familiar are you with the proposal?
single choice · Very familiar, Somewhat, Only just heard of it
3. To what extent do you support the proposal?
single choice · Strongly support, Support, Neither, Oppose, Strongly oppose
4. Which aspects concern you?
multi choice · Cost, Traffic and parking, Environment, Noise, Impact on local businesses, Design, Timing, None of these
5. What would you change about the proposal?
open text
6. Is there an alternative you would prefer?
open text
What the results look like
IllustrativeSynthetic sample of 120 responses generated for this preview, not real survey data. Your results page shows the same charts for your own responses.
1.You are responding as…
120 answered| Answer | Count | Percent |
|---|---|---|
| A resident | 30 | 25% |
| A local business | 15 | 13% |
| An organisation | 36 | 30% |
| A visitor | 13 | 11% |
| Other | 26 | 22% |
2.How familiar are you with the proposal?
120 answered| Answer | Count | Percent |
|---|---|---|
| Very familiar | 39 | 33% |
| Somewhat | 30 | 25% |
| Only just heard of it | 51 | 43% |
3.To what extent do you support the proposal?
120 answered| Answer | Count | Percent |
|---|---|---|
| Strongly support | 17 | 14% |
| Support | 14 | 12% |
| Neither | 31 | 26% |
| Oppose | 12 | 10% |
| Strongly oppose | 46 | 38% |
4.Which aspects concern you?
116 answered| Answer | Count | Percent |
|---|---|---|
| Cost | 54 | 47% |
| Traffic and parking | 18 | 16% |
| Environment | 54 | 47% |
| Noise | 45 | 39% |
| Impact on local businesses | 40 | 34% |
| Design | 61 | 53% |
| Timing | 58 | 50% |
| None of these | 2 | 2% |
How to read these questions
- single choice: Read the share choosing each option, then cross-tab by a segment question to see who differs.
- multi choice: Percentages add up to more than 100% because people can pick several. Compare options by share of respondents, not share of picks.
Frequently asked questions
How do councils run a resident survey?
A mix of online, paper and phone, a representative sample or open consultation with demographic weighting, and a published summary with decisions.
How long does the public consultation response survey take to complete?
About 4 minutes: 6 questions, most of them single-tap. Every question can be edited, removed or reordered in the builder before you publish.
Is this template free to use?
Yes. Every template is included on the Free plan. Sign up, click Use this template, and it is copied into your workspace where you can edit it, add your logo and share it by link, email or embed.
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