Acton Gardens Community Centre would like to ask you a few questions to help us understand the needs of the local community and measure the impact of our community services. Please help us by taking a few minutes to fill out this survey.

We will only use this data for research purposes, and it will be anonymous.

If you would like to enter the prize draw with a chance to win a £25 voucher, please leave your name and contact.

If you want to hear from us, we add you to our newsletter list.

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* 1. Please enter your postcode

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* 2. Have you visited the Acton Gardens Community Centre before today?

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* 3. If yes, please tell us the reason of your visit

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* 4. Please state to what extent you agree with the following statements

  Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree
I know where to get information/support in my local area
I feel like I belong to this neighbourhood
I make use of services on local area
I would like to socialise with people from different age groups/backgrounds
I feel isolated and would like to make friends
I am member of local groups/clubs or would like to be a member

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* 5. Would you like to participate in any of the following activities in the future? Please tick all that apply.

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* 6. Has anything prevented you from participating in activities happening at the Acton Gardens Community Centre or in your local area?

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* 7. Are you interested in volunteering?

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* 8. If yes, what would you be interested in doing?

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