Municipal Assessment Form Municipality Assessment Form Introduction + Contact InformationThank you for your interest in working with Koalesce Designs to improve your municipal digital services. This brief assessment will help us understand your department's specific needs and challenges. Your responses will allow us to recommend the right approach - whether it's a quick-impact solution or a more comprehensive transformation. The form takes approximately 3-5 minutes to complete. Your information will remain confidential and will only be used to prepare for our potential.Contact InformationMunicipalityDepartment NameFirst NameLast NamePositionEmail AddressPhone/MobileSave & ResumePreviousNextDepartment Profile + Pain PointsWhat is the approximate population of your municipality?- Select -Under 50,00050,000-250,000250,000-500,000500,000+How many staff members are in your department?- Select -1-1011-5051-100100+Which best describes your current digital infrastructure?- Select -Mostly legacy systems (5+ years old)Mix of legacy and modern systemsRecently updated systems (within past 2 years)UnsureSave & ResumePreviousNextOpen-ended Question + Follow-up PreferenceWhat is your most pressing digital challenge? (Select one)Improving resident-facing servicesStreamlining internal workflowsBetter data collection and reportingEnsuring accessibility complianceModernizing legacy systemsIntegrating multiple systemsAddressing cybersecurity concernsWhich timeframe best fits your needs?Need immediate improvements (1-3 months)Planning for medium-term projects (3-6 months)Looking at longer-term transformation (6+ months)Preparing for next fiscal year's budgetWhich of these projects would most benefit your municipality? (Select up to 2)Digital service assessment and improvement planUser research and accessibility evaluationProcess automation assessmentTechnical debt evaluationDashboard/visualization developmentStaff workflow optimizationPermit system modernizationResident engagement platformSave & ResumePreviousNextPriorities + Project InterestIs there anything else you'd like us to know about your specific challenges or goals? (Optional)Follow-Up Preference30-minute virtual meetingIn-person discovery workshopDetailed written proposalNot ready to discuss yet, just gathering information Previous Submit Form Was this helpful? Yes No Submit Cancel Thanks for your feedback!
