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
World Cafe Impact Questionnaire
World Cafe Event 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
11) What encouraged you to attend this event?
Monetary reward
To meet new people
To help the community
None of the above (if so, explain below)
Please select all which are appropriate
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
Skip to content
