---
title: Municipal Mental Health Crisis Response Feedback Form Template | Paperform
description: Evaluate police co-responder programs and crisis intervention teams with this municipal mental health crisis response feedback form. Measure de-escalation effectiveness, care coordination, and community satisfaction.
url: "https://paperform.co/templates/municipal-mental-health-crisis-response-feedback-form"
type: static
generatedAt: "2026-03-28T00:44:35.134Z"
---

[← Back to free form templates](/templates/)    ![Municipal Mental Health Crisis Response Feedback Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/municipal-mental-health-crisis-response-feedback-form.png)
    [Preview](https://_preview.paperform.co/ai-template/municipal-mental-health-crisis-response-feedback-form) [Use this template for free](/create?ai-template=municipal-mental-health-crisis-response-feedback-form)    [Healthcare & Medical Forms](/templates/category/healthcare/)[Government & Civic Forms](/templates/category/government-civic/) [Healthcare](/templates/industry/healthcare/)[Mental Health](/templates/industry/mental-health/)[Public Administration](/templates/industry/public-admin/) [Manager](/templates/role/manager/)[Psychologist](/templates/role/psychologist/)[Social Worker](/templates/role/social-worker/)[Police Officer](/templates/role/police-officer/)     About this free form template
### Improve Mental Health Crisis Response with Community Feedback

Municipal mental health crisis response programs are transforming how communities support residents in psychiatric emergencies. This **Municipal Mental Health Crisis Response Feedback Form** helps cities and counties evaluate police co-responder programs, crisis intervention teams (CIT), and mental health mobile units through direct community input.

Whether you're assessing a new co-responder model pairing officers with mental health clinicians, evaluating de-escalation effectiveness, or measuring follow-up care coordination, this template captures the critical data needed to strengthen your program and demonstrate accountability to stakeholders.

#### Built for Public Safety and Mental Health Agencies

This form is designed for municipal government agencies, public safety departments, behavioral health departments, and community oversight boards seeking to:

 - **Evaluate crisis response effectiveness:** Gather feedback on response times, de-escalation techniques, and officer/clinician professionalism during mental health emergencies
 - **Measure program outcomes:** Track family satisfaction, care coordination quality, and whether the response prevented hospitalization or incarceration
 - **Identify improvement areas:** Collect constructive criticism and suggestions to refine training, protocols, and resource allocation
 - **Build community trust:** Demonstrate transparency and commitment to continuous improvement in mental health crisis services

#### Streamline Data Collection and Reporting

Paperform makes it simple to deploy this feedback form across multiple channels—embed it on your municipal website, share via email to families who've interacted with crisis teams, or provide QR codes at community meetings. Conditional logic tailors follow-up questions based on the type of crisis response, and all submissions flow directly into your preferred database or case management system.

Use **AI Insights** to analyze hundreds of responses and surface key themes around de-escalation effectiveness, communication quality, or gaps in follow-up care. Generate reports for city councils, grant funders, or community advisory boards without manual spreadsheet work.

#### Automate Follow-Up and Case Coordination

Connect this form to [Stepper](https://stepper.io) to turn feedback into action. When a submission indicates a negative experience or unmet need, automatically route it to your quality improvement team, schedule a follow-up call, or trigger a case review. Keep families informed about how their feedback is being used to improve services, and maintain SOC 2 compliant records for audits and accountability reporting.

This template helps municipalities deliver compassionate, effective mental health crisis response while demonstrating measurable results to the communities they serve.
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