Public Infrastructure Survey
Ask residents to rate roads, water, lighting, and sanitation in their locality.
Free to preview — no account needed. Using it creates your own editable copy.
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These are the real questions. Nothing you answer here is saved or submitted.
Which ward or locality do you live in?*
About this template
Public Infrastructure Survey is a ready-to-use survey template with 6 questions that takes about 3 minutes to answer. Ask residents to rate roads, water, lighting, and sanitation in their locality.
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
- Cleanliness and safety
- Support and issue resolution
- Scored ratings you can trend over time
- Open-ended feedback in respondents’ own words
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 ward or locality do you live in?*
Short textWhy this matters: Open rather than a fixed list, because the range of real answers here is wider than any set of options would cover.
Condition of roads and footpaths in your area*
Star ratingWhy this matters: Turns a subjective impression into a score you can trend over time and compare across teams or locations.
Reliability of water supply*
Star ratingWhy this matters: A scored answer is the part of this template you can chart — the open questions explain the movement, this one detects it.
Street lighting and public safety at night*
Star ratingWhy this matters: A scale answer about cleanliness and safety standards takes a second to give, which is most of why respondents reach the end of this template at all.
Garbage collection and cleanliness*
Star ratingWhy this matters: Puts a number on cleanliness and safety standards, so you can trend it across weeks, locations or teams instead of arguing from the loudest anecdote.
Report a specific infrastructure problem in your area
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 Public Infrastructure Survey, 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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Ready to create your survey?
Start with this ready-to-use template and customise it for your needs. You get your own copy in seconds — the template stays exactly as it is.