User Survey 2012

What Gender are you?

Please select one of the following: -

Male

Female

How old are you?

Please select one of the following: -

11,12 or 13

14,15 or 16

17,18 or 19

20 or over

What is your ethnicity?

Does your Youth Worker

	All the time	Sometimes	Rarely	Never
Listen to you in general
Listen to your problems
Listen to your ideas
Make you feel the centre/project belongs to you
Encourage you to get involved with the organisation and running of the club/project
Support you to do things for yourself

In your club/project have you discussed or made decisions about

Would you describe your club/project as

What could make the youth club/project better?

If you could start a new project what would it be?

What would be best opening times for you?

Please choose as many of the following options that apply to you: -

Have you learned anything useful at your club/project about

	Loads	Some	A bit	Nothing
Contraception / Relationship & Sex Education
Drugs/Tobacco
Health matters
Respecting others
Your rights/the law
Developing confidence
Making decisions
Getting in to work/college

How have we helped you deal with a particular problem in your life?

Have the Youth Workers at your club/project talked about the following

Youth Workers may give you information about other services for specialised support.

Has your Youth Worker ever put you in touch with or given you information about other services? (For example, Open Door, Connexions etc)

If YES did you find the advice/information helpful?

Please select one of the following: -

Yes

If you would like us to contact you to discuss any issues raised further please put your email address here