Q01
Long Text
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Resident Trust & Accountability in Local Government
Measures resident perceptions of trust, fairness, transparency, and accountability in local public services. Designed for municipal governments and civic organizations seeking actionable feedback to improve governance and resident relations.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
26 questions · ~4 min
Q02
Multiple Choice
Do you currently live in the city, town, or county this survey is about?
Q03
Multiple Choice
In the past 12 months, have you interacted with any local public service (for example, permits, sanitation, schools, health clinics, public safety, or housing)?
Q04
Long Text
Overall, how much do you trust your local government to do what is right for residents?
Q05
Long Text
Please indicate how much you agree or disagree with each statement about your local government. "My local government treats all residents fairly, regardless of their background."
Q06
Long Text
How transparent is your local government about how decisions are made and how public funds are spent?
Q07
Long Text
Based on your responses in this survey, if you could change one thing to make local government fairer, more transparent, or more accountable, what would it be?
Q08
Long Text
What is your age?
Q09
Long Text
Thank you for completing this survey. Your responses are confidential and will be used in aggregate to help improve local public services. If you have questions about this study, please contact [research team email].
Q10
Long Text
Thinking about your most recent interaction with a local public service, please indicate how much you agree or disagree: "I was treated with courtesy and respect."
Q11
Long Text
How satisfied are you with the overall quality of services provided by your local government?
Q12
Long Text
"Residents have a meaningful say in local government decisions."
Q13
Multiple Choice
In the past 6 months, which sources have you used to get information from your local government? Select all that apply.
Q14
AI Interview
Thank you for your responses so far. We'd like to explore a few of your thoughts in more depth. An AI moderator will ask you up to 2 short follow-up questions — please respond as openly as you like.
Q15
Multiple Choice
What is your gender?
Q16
Long Text
"The process was straightforward and easy to follow."
Q17
Long Text
What, if anything, most influences your level of trust in local government — whether positively or negatively? Please share any specific examples.
Q18
Long Text
"Local officials listen to and care about residents' concerns."
Q19
Long Text
From the list below, rank the three actions that would do the most to improve local government accountability (drag to reorder; 1 = most helpful).
Q20
Long Text
What is the highest level of education you have completed?
Q21
Long Text
"I received a response within a reasonable time."
Q22
Long Text
"Decision-making processes give all neighborhoods and communities equal attention."
Q23
Long Text
How confident are you that local officials are held accountable when mistakes or misconduct occur?
Q24
Multiple Choice
Which best describes the area where you live?
Q25
Long Text
"I was treated fairly regardless of my background."
Q26
Long Text
"The outcome or next steps were clearly explained to me."
What’s included
AI follow-ups
Adaptive probes on open-ended answers that pull out detail a static form would miss.
Attention checks
Built-in safeguards against rushed answers and low-quality respondents.
AI-drafted copy
Wording, ordering, and branching written by the AI — tuned to your research goal.
Auto report
Themes, quotes, and a plain-English summary write themselves once responses come in.
Ready to launch?
Open this template in the editor. Every part is yours to change before the first respondent sees it.