City of Wolverhampton Council Community and Faith Survey

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* 1. Address

Contact Name

Organisation Name

Address

Address 2

City/Town

Postcode

Email Address

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* 2. What service/s does your organisation/group provide?

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* 3. How many volunteers do you have within your organisation?

0-5

6-10

11-15

16-20

20+

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* 4. In what area(s) of Wolverhampton do you deliver your services and/or mainly based?

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* 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)

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* 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.

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* 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.

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* 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

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* 9. Is there any other feedback you would like to share in relation to the venues that you use?

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* 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

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* 11. Do any of your services include opportunities to be physically active?

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* 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)

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* 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.

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* 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

Phone calls

Other (please specify)

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* 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)

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* 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?

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* 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

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* 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

100% of survey complete.