Community Needs Assessment

Submit Assessment

Complete the form below. Fields marked * are required.

Privacy Notice

Your email address is required to prevent duplicate submissions and to allow follow-up if necessary. Your phone number is optional. Your information remains confidential.

Estate *

Ward *

Category *

Describe Your Need *

Community Concern *

Priority *

Email Address *

Phone Number Optional

Spiritual & Social Survey

Age Group *

Do you regularly attend a church, mosque or another place of worship? * Select Yes or No.

If you do not attend, what is the main reason?

Household & Social Support

Widowed

Orphan

Living with a Disability

I need food assistance

I would appreciate spiritual counselling or support

Household Assistance Needed Example: food, rent, school fees, counselling, medical support, employment or assistive devices.

Additional Comments

Thank You

Your responses help community leaders, local organizations, faith-based organizations and other stakeholders understand community needs, identify vulnerable households and plan appropriate programmes. All information is treated confidentially.