MASBRO CENTRE USER SURVEY MAY 2012

We would be grateful if you could spend a short amount of time to complete this form. All completed forms will be entered into our prize draw and the winner will receive 50 in vouchers. This survey will help us to gather information about the services we provide, and how we can improve them as well as provide feedback to our funders. If you are completing this form online, please email it to clint@upg.org.uk 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 Health & Fitness Classes Youth Club Gym Sports Pitch Other (Please Specify) Parenting Services Volunteering

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 per Once a week Several times a week month Once a month Less than once a month 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

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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 statements are 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 help shape 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

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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 White Irish Black African White European Black Caribbean Other (please specify) Black Other

Indian Pakistani Bangaldeshi Chinese /Asian

What is your age and if appropriate the age of the child/children you are attending the centre 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: 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/postal information about our services Yes/No THANK YOU FOR COMPLETING THIS FORM
Follow us on Twitter http://twitter.com/MasbroCentre Or Facebook? https://www.facebook.com/MasbroCentre

Yes

No

A Company Limited by Guarantee and Registered in England and Wales No: 3446256

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