Questionnaire

We would like to find out how you connect with other people, barriers you experience and if you would like to get more involved in your community
 
Every completed form will be entered into a prize draw for a £25 supermarket voucher

For your chance to win please complete your contact details at the end



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* 1. What is your postcode

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* 2. What is your age range

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* 3. What do you see as your community?
(where you live, networks, family, people you have a shared interest with)

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* 4. What do you value in your community?

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* 5. Do you take part in any local activities? Please list. (e.g. groups or social activities)

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* 6. How do you find out about what is happening in your area?

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* 7. What stops you taking part in local activities?

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* 8. What would need to happen for you to feel more connected in your community?

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* 9. Is there anything you could do to help people feel more connected?

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* 10. What things would you like to see develop in your area?

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* 11. How often do you feel that you lack companionship?

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* 12. How often do you feel left out?

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* 13. How often do you feel isolated from others?

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* 14. Would you like to be kept informed of future developments?

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* 15. If yes please complete your details below

Thank you for taking the time to complete this questionnaire



Catriona Paterson
Erewash Voluntary Action, Granville Avenue, Long Eaton, NG10 4HD
Tel: 0115 9466740 Email: catriona@erewashcvs.org.uk
Data Protection Regulation
EVA needs to comply with the new Data Protection legislation called GDPR. To ensure we meet these rules we need your permission to keep your data. We will only use these details in regard to the Connect Erewash work.

Erewash Voluntary Action is a Registered Charity No. 1069838 and a company limited by guarantee Registered in England No. 03537038

 

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