This questionnaire (10 questions) is designed to help Peterchurch Parish Council, Peterchurch Village Hall, The Hub at St Peter’s and Fairfield High School understand three things:
1.      How the Covid-19 crisis is affecting young people in Peterchurch and the local area;
2.      What can be done to support and help young people; 
3.      What positive changes young people would like to see come out of this crisis.

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* 1. SOME INFORMATION ABOUT YOU - Please select your age and gender:-

  Male Female
Age 11
Age 12
Age 13
Age 14
Age 15
Age 16

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* 2. Do you live in the Golden Valley?

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* 3. How are you feeling during lockdown?
Please put a tick against all of the emotions you are feeling:

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* 4. How do you feel about not being able to attend lessons in school?
Please select one:

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* 5. How do you feel about not being able to see your friends?
Pleas select one:

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* 6. How do you feel about your mental health?
Please select one:

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* 7. How do you feel about your physical health?
Please select one:

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* 8. Are you interested in taking part in more online courses and activities?

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* 9. If yes, would you be interested in online courses in any of the following areas? Please tick all that apply:

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* 10. Are there things that have come out of lockdown which you would like to continue? (If you would like to talk to someone please also leave your name in the box below)

Thank you for completing this questionnaire.

Please remember, the questionnaire is anonymous so we will not know your name, unless you wish to leave it. We will combine all of the data from the surveys and share the results with the Parish Council, The Hub at St Peter’s, Peterchurch Village Hall and school staff.

Only Learning Managers at Fairfield High School will know if you have left your name because you would like to talk to someone.

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