Citizen Service Feedback
Measure citizen satisfaction with a government office visit or service request.
Free to preview — no account needed. Using it creates your own editable copy.
Try the template
These are the real questions. Nothing you answer here is saved or submitted.
Which service did you visit us for today?*
About this template
Citizen Service Feedback is a ready-to-use survey template with 6 questions that takes about 2 minutes to answer. Measure citizen satisfaction with a government office visit or service request.
Government templates cover citizen service quality, public infrastructure, municipal services and e-governance portals. Public-sector surveys reach the widest possible audience, so plain wording matters more here than anywhere else: write questions that make sense read aloud, and avoid departmental jargon the respondent has no reason to know. Everything in this template is editable — treat the questions below as a starting point that already has the structure right, then cut what does not apply to you.
- Who should use it
- Municipal bodies, government departments and public service delivery teams.
- When to use it
- After a citizen interaction, and periodically for infrastructure and area-level feedback.
What this template helps you measure
- Overall satisfaction
- Speed and waiting times
- Staff performance
- Ideas for improvement
Every question in this template
6 questions, with what each one is doing there. Change or remove any of them after you make your copy.
Which service did you visit us for today?*
Single choice- Certificates / documents
- License or permit
- Tax or fee payment
- Grievance / complaint
- Other
Why this matters: Fixed options keep answers comparable, so one reason can clearly out-rank the others instead of arriving as fifty different phrasings of the same thing.
How satisfied are you with the service you received?*
Star ratingWhy this matters: Puts a number on overall satisfaction, so you can trend it across weeks, locations or teams instead of arguing from the loudest anecdote.
How long did you have to wait to be served?*
Single choice- Under 15 minutes
- 15 to 30 minutes
- 30 minutes to 1 hour
- More than 1 hour
Why this matters: Fixed options keep answers about speed and waiting time comparable, so one reason can clearly out-rank the others instead of arriving as fifty different phrasings.
Was the staff courteous and helpful?*
Yes / NoWhy this matters: Splits respondents into two groups by how your people performed — the fastest cut to make when you read the results.
Was your work completed in a single visit?*
Yes / NoWhy this matters: A clean yes or no — nothing to interpret, and it doubles as a filter you can split every other answer by.
How can we serve you better?
Long textWhy this matters: Unprompted wording surfaces problems you did not think to ask about — the ones no fixed-option question in this template would have caught.
How to use this template
- 1
Start with the template
Click "Use this template" and SurveyKar creates your own copy of Citizen Service Feedback, with every question already in place. The original template stays untouched.
- 2
Customise the questions
Reword anything that does not match your business, delete what you do not need, change a question type, or add your own. Shorter surveys finish more often — cut before you add.
- 3
Add your branding
Set your logo, brand colours, fonts and background so the page looks like it belongs to you rather than to a survey tool.
- 4
Share it
Publish, then share the link, print the QR code, embed it on your site, or send it to a contact list over email or WhatsApp.
- 5
Read the responses
Results land in your dashboard as they arrive, with charts per question, filters, sentiment analysis on open text, and CSV or PDF export.
What you can customise
Your copy is yours. Nothing in the template is locked, and the original is never changed by anything you do.
Questions and wording
Edit, reorder, delete or add questions. Nothing in the template is locked.
Question types
Swap a rating for NPS, a single choice for a matrix, or add ranking, sliders and file uploads.
Logo and brand colours
Apply your logo, primary colour, fonts and background image to the respondent page.
Conditional logic
Skip questions or branch to a different page based on an earlier answer. Available on the Basic plan and above.
Thank-you page
Write your own closing message, or redirect respondents to a URL of your choice after submitting.
Sharing and distribution
Share by link or QR code, embed it on your website, or send it out over email and WhatsApp campaigns.
Frequently asked questions
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