City of Wolverhampton Council Community and Faith Survey Question Title * 1. Address Contact Name Organisation Name Address Address 2 City/Town Postcode Email Address Question Title * 2. What service/s does your organisation/group provide? Question Title * 3. How many volunteers do you have within your organisation? 0-5 6-10 11-15 16-20 20+ Question Title * 4. In what area(s) of Wolverhampton do you deliver your services and/or mainly based? Question Title * 5. Do you deliver your services from your own premises or do you make use of other local facilities? Own premises Community centre Place of worship GP surgery Leisure centre Local park Other (please specify) Question Title * 6. If you use your own premises (please provide a postcode) what facilities do you have available and do you hire your facilities to other community groups? If you don't use your own premises, please go to question 8. Question Title * 7. If you use your own premises and you hire them out, do you offer a pay and play option to residents? If yes, please give details. If no, please move to the next question. Question Title * 8. Please rate the facility you identified in Q5 your most used venue as good, standard or poor (a good facility will will meet your needs as a group, provide good quality, clean facilities etc.) Good Standard Poor Question Title * 9. Is there any other feedback you would like to share in relation to the venues that you use? Question Title * 10. Thinking about the communities you work with, to what extent do you agree or disagree that there is an understanding of the benefits of being physically active? Strongly agree Agree Neither agree or disagree Disagree Strongly disagree Question Title * 11. Do any of your services include opportunities to be physically active? Question Title * 12. What barriers do you think your communities face when taking part in physical activity? Please tick all that apply Not enough time – due to work/school or College pressures Not enough time – home life pressures Not enough time – due to childcare/care responsibilities Health condition/Disability/Impairment Costs involved Not sure how to start exercising or what type to do Not having company/peers to be active with Lack of confidence No convenient and accessible facilities Lack of information Not being able to travel to facilities Lack of Specific ‘only’ sessions for Female / Over 50’s, 60’s, 70’s / Disability / Specific cultural group / LGBT Nervous about attending a gym/facility Lack of information in my main language Don't feel safe taking part Other (please specify) Question Title * 13. If one of your choices was "Don't feel safe taking part" in the previous question, please could you provide more details, or move to the next question. Question Title * 14. What have you found to be the most effective way to communicate with the communities/people you support? Leaflet Posters Local newsletter/magazine Social media Text message Email Phone calls Other (please specify) Question Title * 15. What would you require in order to increase the usage and / or physical activity on your site? More people / users More volunteers Better transport Better signage to the venue Increased opening hours Improvements to the facility e.g. equipment, building works, changing rooms Other (please specify) Question Title * 16. Are there any indoor sport or wellbeing facilities your organisation / group need in the future that are not currently provided in the City of Wolverhampton Council area? Question Title * 17. City of Wolverhampton Council are updating their database of faith/community groups in the area and would like to keep a record of your details. Please indicate if you are happy for your details given in question 1 to be held by the Council by ticking yes or no. Yes No Question Title * 18. If you ticked yes to the previous question, please confirm you are happy with the following Data Protection Statement. We have asked for some personal information (such as name). This information will be held securely. Any processing of this data will be in line with the requirements of the Data Protection Act 2018 and the UK General Protection Regulation. You can request to be removed at any time by contacting data.protection@wolverhampton.gov.uk Yes No 100% of survey complete. Done