Sutton Bridge World Cafe Planning Group Impact Questionnaire This form is for the attendees/participants Step 1 of 2 50% 1) I feel as though my local area is a place where people from different backgrounds get on well together(Required)Please indicate on a scale of 1-10 whether you agree or disagree with the following statements (1- strongly disagree, 5 - not sure, 10 - strongly agree) 1 2 3 4 5 6 7 8 9 10 2) People in my neighbourhood work together to make changes that make our community better(Required)Please indicate on a scale of 1-10 whether you agree or disagree with the following statements (1- strongly disagree, 5 - not sure, 10 - strongly agree) 1 2 3 4 5 6 7 8 9 10 3) I am aware of the decisions service providers (e.g. the council, the police, housing agencies etc) make for my local community(Required)Please indicate on a scale of 1-10 whether you agree or disagree with the following statements (1- strongly disagree, 5 - not sure, 10 - strongly agree) 1 2 3 4 5 6 7 8 9 10 3) I have trust in my local community (e.g. my neighbours) to act with community benefit in mind(Required)Please indicate on a scale of 1-10 whether you agree or disagree with the following statements (1- strongly disagree, 5 - not sure, 10 - strongly agree) 1 2 3 4 5 6 7 8 9 10 5) I have trust in my local community service proiders (e.g. council and police) to act on behalf of community needs(Required)Please indicate on a scale of 1-10 whether you agree or disagree with the following statements (1- strongly disagree, 5 - not sure, 10 - strongly agree) 1 2 3 4 5 6 7 8 9 10 6) It is clear in my local neighbourhood who to ask and where to go for information and assistance when I have a problem(Required)Please indicate on a scale of 1-10 whether you agree or disagree with the following statements (1- strongly disagree, 5 - not sure, 10 - strongly agree) 1 2 3 4 5 6 7 8 9 10 7) I feel my voice is heard by those who deliver local services in the community(Required)Please indicate on a scale of 1-10 whether you agree or disagree with the following statements (1- strongly disagree, 5 - not sure, 10 - strongly agree) 1 2 3 4 5 6 7 8 9 10 8) Describe the level of engagement you have had with local services providers or community groups over the last 12 months?(Required)Please use the options below to best answer the following question (tick all that are appropriate) No engagement Had informal discussion with neighbours regarding community matters Signed a petition aiming to improve the community Attended at least one meeting aiming to improve the community and local area Regularly attended meetings that aim to improve the community and local area Volunteered on a community project Served as a committee member of a group working to develop the community 9) Describe how likely you are to attend formal meetings with your local service providers?(Required)Please indicate on a scale of 1-10 (1- Not likely at all, 5 - not sure, 10 - Very likely) 1 2 3 4 5 6 7 8 9 10 10) Are you more likely to engage with your community and local service providers after this programme?please select one More likely Less likely Neither more nor less likely Q11. What encouraged you to join this working group?12) What particular area of focus do you think community engagement should be targeted around in your community?13)What do you hope can be achieved through this event?14) There is a view that my community suffers from violent and organised crime(Required)Please indicate on a scale of 1-10 whether you agree or disagree with the following statements (1- strongly disagree, 5 - not sure, 10 - strongly agree) 1 2 3 4 5 6 7 8 9 10
This form is for the attendees/participants
Step 1 of 2
