Stakeholder Feedback Survey

When to use this

Five questions, deliberately. Long surveys get low response and lower-quality answers. Each question is action-oriented: 'what should change' beats 'how do you feel'.

# Stakeholder Feedback Survey — [Project / team / change]

**For:** Stakeholders identified in the engagement plan.
**Length:** ~5 minutes. Anonymous unless you wish to identify yourself.
**Deadline:** [Date].

## 1. What's working well that we should keep doing?

[Free text — 1-3 sentences.]

## 2. What's not working and we should change?

[Free text — 1-3 sentences.]

## 3. What information do you wish you were getting that you aren't?

[Free text.]

## 4. On a scale of 1-5, how confident are you in the direction we're heading?

[ ] 1 — not confident   [ ] 2   [ ] 3 — neutral   [ ] 4   [ ] 5 — very confident

(Comment, optional:)

## 5. One thing you'd say if you were running this:

[Free text.]


**Name (optional):** _____________
**Submit to:** [Email] or [Anonymous form link]