Identifying St Christopher's connections to local community groups

Question Title

* 1. Please provide your name

First name

Surname

Question Title

* 2. Are you a member of one of the following types of organisations: Rotary Club, Women’s Institute, Masonic Lodge, sports or leisure club, social club, or religious group/church? If you answered yes, please provide the name(s) of the organisation(s) below and any relevant information about your involvement/role.

Question Title

* 3. Are you a member of another type of community group that isn’t listed above? If you answered yes, please provide the name(s) of the organisation(s) below and any relevant information about your involvement/role.

Question Title

* 4. Do you work or volunteer for a school, college, university, small business (e.g. pubs and restaurants)? If you answered yes, please provide the name(s) of the organisation(s) below.

Question Title

* 5. Do you know anyone who is a member of one of the following types of organisations: Rotary Club, Women’s Institute, Masonic Lodge, sports or leisure club, social club, or religious group/church? If you answered yes, please provide the name(s) of the organisation(s) below and any relevant information about their involvement/role.

Question Title

* 6. Do you know anyone who is a member of another type of community group that isn’t listed above? If you answered yes, please provide the name(s) of the organisation(s) below.

Question Title

* 7. Do you know anyone who works or volunteers for a school, college, university, small business (e.g. pubs and restaurants)? If you answered yes, please provide the name(s) of the organisation(s) below.

Question Title

* 8. Thank you for your support. In order for us to contact you about your response to this survey, please provide a contact telephone number and email address. A member of the team will be in touch soon.

Contact number

Alternate contact number (if you have one)

Email address

Question Title

* 9. Thank you for providing your contact details. A member of the team will be in touch soon, most likely between 9:00am and 5:00pm. If there is a time at which you would not like to be contacted by us, please state this below.

Question Title

* 10. We need your support to help raise funds for St Christopher’s. If you have another connection or you know someone who has a connection to an organisation or group not mentioned above, please use this space to provide the details of the organisation. If you have any questions about this survey, please email Hal Davidson on h.davidson@stchristophers.org.uk