Candlelighters Group Survey

1. Introduction

We would like to ask parents, step parents and carers to complete the following questionnaire. We are looking to expand our service provision within The Square to enable family members to support other Candlelighters families. The family network could provide support for families in a variety of different ways such as one to one support, activity groups and more but we need your help to shape the future of the network.

All information will stored anonymously and will only be used by Candlelighters in relation to service development.

Question Title

* 1. Are you male or female?

Male

Female

Question Title

* 2. Where do you live? Please insert the first half of your postcode (e.g. LS3)

Question Title

* 3. How did you find out about The Square?

Facebook

Candlelighters Website

The Square

Ward Staff

Social Worker

Other Parents

Other (please specify)

Question Title

* 4. Have you attended The Square before?

Yes

No

If yes please tell us what services you use at The Square. For example Massage, groups, coffee/chat