MutualGain
Publications
Blog
About Us
About Us
Careers
Partnerships
Professional Memberships
Testimonials
MutualiLearn
020 3887 2859
info@mutualgain.org
Toggle Navigation
Menu
Home
Virtual Cuppa
Social Capital
Training
Training Overview
Appreciative Inquiry
Bespoke Training
Citizens Assembly
Community Coaching
Community Curators
Facilitation Training
Focus Groups
MutualiLearn
OCN Accreditation
Positive Deviance
Participatory Budgeting
Qualitative Asset Mapping
Reframing Community Engagement
Understanding Co-production
World Café
Capacity Building
Capacity Building
Community Coaching
Training Support Packages
Delivery
Contact
Publications
Blog
About Us
About Us
Careers
Partnerships
Professional Memberships
Testimonials
Bridgemary Fund Off Listening To You Form
Bridgemary Fund Off Listening To You Form
By completing this form you allow us to 'listen to you' and measure impact.
Q1) How would you describe your current level of community action in the past 12 months?
---select one---
a) I have not attended a meeting or a discussion group with either my local neighbours or agencies (such as the police, council or health service)
b) I have had informal discussion with my neighbours on the matters that affect this community but I have not attended a meeting with agencies in this area
c) I have attended at least one meeting with those agencies responsible for delivering services in my community
d) I regularly attend meetings (such as local council meetings or police priority setting meetings) in this community
Please select one of the options
Q2) Following the meeting that you attended, did you;
---select one---
a) Receive any follow up information that has been helpful, and know how that conversation would then progress,
b) Not receive any follow up information and you were left unsure how the discussion would progress
c) Other (please state below)
If you answered c or d in Q1, please answer Question 2. If not go to Question 3
If you have selected other, please state:
Q3) Do you think that your voice is currently ‘heard’ by those who deliver local services in your community when they decide what activities they prioritise?
---select one---
Yes
No
If YES – which agency/s were involved?
Q4) There is a view that society is experiencing greater levels of violence. Which of these most accurately reflects your current position;
---select---
a) I do not think that this community currently suffers from a high level of serious youth violence
b) I know that there is a high level of serious youth violence but I am not affected by it
c) Members of my family or close friends have been victims of serious youth violence or are involved in violent activities either through domestic violence, drug related violence, gang membership etc
d) I have personally been a victim of serious youth violence – it has affected my life – or, I am currently actively involved in this crime in other ways
Q5) Have you previously attended a MutualGain event in this area?
Yes
No
If YES - why have you decided to attend again (tick all that apply)
1. To get an incentive
2. I enjoyed the experience
3. I felt that was that I was listened to
4. I want to get involved in changing things in this community
5. Not Sure
6a) People who live in my local neighbourhood can be trusted, whether or not they are ‘people like me’
1 (Strongly Disagree)
2
3
4
5
6
7
8
9
10 (Strongly Agree)
For the five statements could you indicate on a scale from 1-10 whether you agree with the statement for your local neighbourhood
6b) People who live in my local neighbourhood look out for one another and will help those who are in need and do each other favours
---select one---
1 (Strongly Disagree)
2
3
4
5
6
7
8
9
10 (Strongly Agree)
For the five statements could you indicate on a scale from 1-10 whether you agree with the statement for your local neighbourhood
6c) When you are in trouble or need help it is clear in my local neighbourhood who and where to go to for assistance
---select one---
1 (Strongly Disagree)
2
3
4
5
6
7
8
9
10 (Strongly Agree)
For the five statements could you indicate on a scale from 1-10 whether you agree with the statement for your local neighbourhood
6d) In my local neighbourhood there are lots of social and sporting groups and activities that I and my neighbours get involved in
---select one---
1 (Strongly Disagree)
2
3
4
5
6
7
8
9
10 (Strongly Agree)
For the five statements could you indicate on a scale from 1-10 whether you agree with the statement for your local neighbourhood
6e) Local people in my neighbourhood group and work together to make changes that make our community better
---select one---
1 (Strongly Disagree)
2
3
4
5
6
7
8
9
10 (Strongly Agree)
For the five statements could you indicate on a scale from 1-10 whether you agree with the statement for your local neighbourhood
Skip to content