Community Impact Survey

Participants get a short, guided way to say what a program did for them, about 5 to 7 minutes of answering. You get something harder to come by: structured outcome evidence you can put in front of a board or a funder. That trade is the whole point of the Community Impact Survey template, and since it sits on Uplup's free plan, you can send it out today without paying anything.

Nine fields that move from who you are to what changed

The survey opens with contact basics: full name, email, and an optional phone number, so every response ties back to a real participant you can follow up with. A dropdown asks which program the person participated in, with three placeholder options (Program A, B, and C) that you rename to match your own offerings. Then the measurement starts. A five-point rating captures overall impact, a multiple choice question asks whether the program exceeded, met, or fell below expectations, and a required open text box asks "How has this program helped you?" in the participant's own words.

An optional suggestions box and a closing question, "How likely are you to recommend this program?", round out the nine fields. The structure is a cover page, two content pages, and an ending page, and every field, option, and label is editable before you share anything.

Where the answers go after someone hits submit

Each response lands in your Uplup dashboard with per-question breakdowns, so you can see at a glance how impact ratings and expectation answers are distributed. Export everything to CSV and you can split results by program in a spreadsheet, which is exactly the cut a grant report or an annual review needs. The required open text answers do different work: they are the quotes that turn an outcomes section into something a funder actually reads instead of a wall of percentages.

If your reporting lives somewhere else, webhooks and a Zapier connection push new responses out as they arrive, so a CRM or reporting doc stays current without manual exports.

Putting it in front of people who finished your program

Share a direct link in your follow-up emails, print the QR code on flyers at program sites, or post it to the social channels your community already follows. The embed snippet places the survey on any page of your website, and if that site runs on WordPress, the Uplup plugin's shortcode does the same job in one line. The template's recommended conversational mode shows one question at a time, with a progress bar and back navigation, which suits participants tapping through on a phone. Add your logo and colors so the survey looks like it came from your organization, not from a form tool.