Feed Back Form Survey

1. What age group do you belong to?

What age group do you belong to? under 18

18-25

26-45

46-65

66 and older

2. How would you describe your ethnic origin?

How would you describe your ethnic origin? Black or Black British - African

Black or Black British - Caribbean

Black or Black British - Other

White - British

White - Irish

White - Other

Asian or Asian British - Bangladeshi

Asian or Asian British - Indian

Asian or Asian British - Pakistani

Asian or Asian British - Other

Chinese

Chinese-Other

Mixed - White and Asian

Mixed - White and Black Caribbean

Mixed - White and Black African

Mixed - Other

3. Choose the statement that best suits you/your commitment to the park

	Never	Rarely	Sometimes	Usually	Always
I use the park	*Choose the statement that best suits you/your commitment to the park I use the park Never	I use the park Rarely	I use the park Sometimes	I use the park Usually	I use the park Always
I come to events	I come to events Never	I come to events Rarely	I come to events Sometimes	I come to events Usually	I come to events Always
I volunteer in the greenhouse	I volunteer in the greenhouse Never	I volunteer in the greenhouse Rarely	I volunteer in the greenhouse Sometimes	I volunteer in the greenhouse Usually	I volunteer in the greenhouse Always
I participate in food sessions	I participate in food sessions Never	I participate in food sessions Rarely	I participate in food sessions Sometimes	I participate in food sessions Usually	I participate in food sessions Always
I take part in sport/fitness	I take part in sport/fitness Never	I take part in sport/fitness Rarely	I take part in sport/fitness Sometimes	I take part in sport/fitness Usually	I take part in sport/fitness Always
I use the one o'clock club	I use the one o'clock club Never	I use the one o'clock club Rarely	I use the one o'clock club Sometimes	I use the one o'clock club Usually	I use the one o'clock club Always
I visit the cafe	I visit the cafe Never	I visit the cafe Rarely	I visit the cafe Sometimes	I visit the cafe Usually	I visit the cafe Always

4. Since I started coming to the park:

	Strongly disagree	Disagree	I don't know	Maybe	Agree	Strongly agree
I feel less stressed	*Since I started coming to the park: I feel less stressed Strongly disagree	I feel less stressed Disagree	I feel less stressed I don't know	I feel less stressed Maybe	I feel less stressed Agree	I feel less stressed Strongly agree
I feel more fit	I feel more fit Strongly disagree	I feel more fit Disagree	I feel more fit I don't know	I feel more fit Maybe	I feel more fit Agree	I feel more fit Strongly agree
I took up a sport/ physical activity	I took up a sport/ physical activity Strongly disagree	I took up a sport/ physical activity Disagree	I took up a sport/ physical activity I don't know	I took up a sport/ physical activity Maybe	I took up a sport/ physical activity Agree	I took up a sport/ physical activity Strongly agree
I spend more time outdoors	I spend more time outdoors Strongly disagree	I spend more time outdoors Disagree	I spend more time outdoors I don't know	I spend more time outdoors Maybe	I spend more time outdoors Agree	I spend more time outdoors Strongly agree
I eat more healthily	I eat more healthily Strongly disagree	I eat more healthily Disagree	I eat more healthily I don't know	I eat more healthily Maybe	I eat more healthily Agree	I eat more healthily Strongly agree
I have learned new skills	I have learned new skills Strongly disagree	I have learned new skills Disagree	I have learned new skills I don't know	I have learned new skills Maybe	I have learned new skills Agree	I have learned new skills Strongly agree
I know more of my neighbours	I know more of my neighbours Strongly disagree	I know more of my neighbours Disagree	I know more of my neighbours I don't know	I know more of my neighbours Maybe	I know more of my neighbours Agree	I know more of my neighbours Strongly agree
I know where to turn for support and information	I know where to turn for support and information Strongly disagree	I know where to turn for support and information Disagree	I know where to turn for support and information I don't know	I know where to turn for support and information Maybe	I know where to turn for support and information Agree	I know where to turn for support and information Strongly agree
I spend more time with other people	I spend more time with other people Strongly disagree	I spend more time with other people Disagree	I spend more time with other people I don't know	I spend more time with other people Maybe	I spend more time with other people Agree	I spend more time with other people Strongly agree
I have learned about other cultures	I have learned about other cultures Strongly disagree	I have learned about other cultures Disagree	I have learned about other cultures I don't know	I have learned about other cultures Maybe	I have learned about other cultures Agree	I have learned about other cultures Strongly agree
I feel like I have more influence on what is happening in my locality	I feel like I have more influence on what is happening in my locality Strongly disagree	I feel like I have more influence on what is happening in my locality Disagree	I feel like I have more influence on what is happening in my locality I don't know	I feel like I have more influence on what is happening in my locality Maybe	I feel like I have more influence on what is happening in my locality Agree	I feel like I have more influence on what is happening in my locality Strongly agree

5. What would you change, what needs improvement?

What would you change, what needs improvement?

6. What is the greatest benefit of having Myatt's Fields Park in your neighbourhood? Please tell us in your own words what the park means to you.

What is the greatest benefit of having Myatt's Fields Park in your neighbourhood? Please tell us in your own words what the park means to you.