masbro centre users survey 2012
TRANSCRIPT
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MASBRO CENTRE USER SURVEY MAY 2012
We would be grateful if you could spend a short amount of time to complete this form. Allcompleted forms will be entered into ourprize drawand the winner will receive 50 invouchers. This survey will help us to gather information about the services we provide, andhow we can improve them as well as provide feedback to our funders.If you are completing this form online, please email it to [email protected]
1. Which services do you use at the Masbro Centre (please tick all that apply)
Childrens Centre Adult Learning Older People Services
Art and Pottery Classes Gym Parenting Services
Health & Fitness Classes Sports Pitch Volunteering
Youth Club Other (Please Specify)
2. What day(s) of the week do you usually visit the Masbro Centre? (please tick)
Monday Tuesday Wednesday
Thursday Friday Saturday
3. How often do you visit the Masbro Centre? (please tick)
Several times perweek
Once a week Several times amonth
Once a month Less than once amonth
4. Overall, how do you rate the services at the Masbro? (please tick)
Very Good Good Satisfactory Poor Very Poor
5. Overall, how do you rate the staff at the Masbro? (please tick)Very good Good Satisfactory Poor Very Poor
6. How do you rate the look of the building? (please tick)
Very Good Good Satisfactory Poor Very Poor
A Company Limited by Guarantee and Registered in England and Wales No: 3446256 a. 1
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7. How do you rate the range of services available?
Very Good Good Satisfactory Poor Very Poor
8. How do you rate the range of information available?
Very Good Good Satisfactory Poor Very Poor
9. By attending the Masbro Centre can you say that any of the following statementsare true? Please tick all those that apply
Coming to the Masbro Centre has increased my health and well being
I have felt supported to gain further skills
I feel more positive about my future
I am now more confident and feel I will be able to get a job
I feel I am part of the local community
I feel that I am more involved in the decision making process and can helpshape services in the local area
10.What improvements would you like to make to Masbro Centre?
Like Masbro Centre to be open at weekends
New Sports Pitch roof
A Caf space
A summer playscheme for children
More activities for Children and Families
More activities for young people
More activities for older people
More help with getting a job
A Company Limited by Guarantee and Registered in England and Wales No: 3446256 a. 2
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In your own words can you tell us what difference the Masbro Centre has made to you
ABOUT YOU:How would you describe your ethnicity? (please tick)
White British Black British Indian
White Irish Black African Pakistani
White European Black Caribbean Bangaldeshi
Other (please specify) Black Other Chinese /Asian
What is your age and if appropriate the age of the child/children you are attending thecentre with ? (please tick)0-5 years 5-12 13-19 20-30
30-40 40 -50 50-65 65+
Please tick yes or no to the following questions: Yes No
Would you say you had a disability?
Is English your first language?
Are you or your partner currently in work and earning a salary?
Are you a refugee or asylum seeker?
Would you describe yourself as a lone parent?
Is your home rented from the local council or a Housing Association?
Name
Address& Postcode
Mobile
E mail/twitter
Would you like to become a Friend of Masbro and receive e mails/postalinformation about our services Yes/No
THANK YOU FOR COMPLETING THIS FORM
Follow us on Twitterhttp://twitter.com/MasbroCentreOr Facebook?https://www.facebook.com/MasbroCentre
A Company Limited by Guarantee and Registered in England and Wales No: 3446256 a. 3
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