Blackpool FC Community Trust Disability Sport Survey (Community)

The following survey is intended for individuals, or parents and carers of children, living with a disability or long term health condition.

Question Title

* 1. How old is the child / young person in question?

0-6

7-12

13-16

16+

Question Title

* 2. We currently offer FREE community activity clubs for young people living with a disability. We have sessions aimed at 7-16 year olds, and football sessions for those aged 16 years and above. Regarding these sessions, which statement best reflects your position:

I am aware of all or some of these, and I attend at least one of these sessions

I am aware of all or some of these, but I do not attend any of these sessions

I am not aware of these sessions and do not attend

Other (please specify)

Question Title

* 3. If you do not attend any of our inclusion sessions, which of the below reasons reflect this reasoning? Please tick all that apply.

Not applicable

I was not aware

Not interested in sports

Doesn’t like football

Inconvenient day and time

Travel restrictions

Cost

Other (please specify)

Question Title

* 4. In your view, would your child participate in any of the following sports if they were offered as a community activity?

Football

Basketball

Boccia

New Age Kurling

Dance

Badminton

Tennis

Athletics

Cycling

Running

Multi sports

Other (please specify)

Question Title

* 5. Are there certain evenings that are more suitable for you to take part? Please tick all that apply.

Monday 3-6pm

Tuesday 3-6pm

Monday 6-9pm

Tuesday 6-9pm

Wednesday 3-6pm

Wednesday 6-9pm

Thursday 3-6pm

Thursday 6-9pm

Friday 3-6pm

Friday 6-9pm

Other (please specify)

Question Title

* 6. If you would like us to follow up with you, please add your telephone number or email address here and we will be in touch. Please note though that we will not store or share any information that you leave below.