Municipal Capacity Assessment Form
Evaluate key aspects of your municipality’s capacity and performance.
Municipality Name
*
Contact Person (Full Name)
*
First Name
Last Name
Official Email Address
*
example@example.com
Population Size
*
Please indicate your municipality’s level of capacity in the following areas:
*
Rows
Very Low
Low
Medium
High
Very High
Governance and Leadership
1
2
3
4
5
Human Resources
6
7
8
9
10
Financial Management
11
12
13
14
15
Infrastructure
16
17
18
19
20
Service Delivery
21
22
23
24
25
Community Engagement
26
27
28
29
30
How would you rate the adequacy of your municipality’s infrastructure (roads, water, waste, etc.)?
*
1
2
3
4
5
Which of the following services does your municipality provide directly?
*
Water Supply
Waste Management
Public Transport
Parks and Recreation
Social Services
Other
What is the main source of funding for your municipality?
*
Local Taxes
State/Provincial Grants
Donor Funding
Service Fees
Other
How would you rate your municipality’s use of digital technology for service delivery?
*
Very Poor
1
2
3
4
Excellent
5
1 is Very Poor, 5 is Excellent
What are the top challenges your municipality faces in improving capacity? (Select all that apply)
*
Limited Funding
Staff Shortages
Aging Infrastructure
Regulatory Constraints
Community Engagement
Other
Please provide any additional comments or suggestions regarding your municipality’s capacity.
Submit Assessment
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