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Social Movement Catalyst Grant - Cale Greeen Park

We invite you to take part in this short survey about your views on the Christmas Event in Cale Green Park. The survey is being conducted to collect feedback from people about their experience of taking part and to find out about whether the event is making a difference.

The survey will take no longer than 5 minutes to complete. Taking part is completely voluntary and you do not need to answer any question you do not feel comfortable answering.

Your responses will be kept strictly confidential, and any report of this research that is made available to the public will not include your name or any other individual information by which you could be identified. Staff involved in this activity will not see the forms.

Please answer honestly – all feedback is helpful.

The survey will take no longer than 5 minutes to complete. Taking part is completely voluntary and you do not need to answer any question you do not feel comfortable answering.

Please answer honestly – all feedback is helpful.

The first seven statements are about thoughts and feelings. For each statement, please tick one box that describes your experience over the past two weeks.

I’ve been feeling optimistic about the future

None of the time

Rarely

Some of the time

Often

All of the time

I’ve been feeling useful

None of the time

Rarely

Some of the time

Often

All of the time

I’ve been feeling relaxed

None of the time

Rarely

Some of the time

Often

All of the time

I’ve been dealing with problems well

None of the time

Rarely

Some of the time

Often

All of the time

I’ve been thinking clearly

None of the time

Rarely

Some of the time

Often

All of the time

I’ve been feeling close to other people

None of the time

Rarely

Some of the time

Often

All of the time

I’ve been able to make my mind up about things

None of the time

Rarely

Some of the time

Often

All of the time

SOCIAL RELATIONSHIPS: The next three statements are about social relationships. Please tick one box that describes how much you agree or disagree with each statement.

I am content with my friends and relationships

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

I have enough people I feel comfortable asking for help at any time

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

My relationships are as satisfying as I want them to be

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

Health: How is your health in general? Would you say it was …

Very bad

Bad

Fair

Good

Very good

THE DIFFERENCE THE PROJECT IS MAKING

Overall, what difference, if any, has taking part in Cale Green Park events made for you personally?

ABOUT YOU

How would you describe yourself?

White

Asian/Asian British

Mixed/Multiple ethnic groups

Black/African/Caribbean/Black British

Other ethnic group

Prefer not to say

What is your gender?

Do you have a disability?

Yes

Prefer not to say

What is your date of birth?

What is your postcode?

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