Bossingham & Stelling Minnis Sports & Leisure Questionnaire

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1. What sports and leisure activities do you take part in already?
Your Age:

What sports and leisure activities do you take part in already? Your Age:   0-11 12-18 19-40 41-60 61+

Please enter your answer here:

2. Do you think an outdoor Sports & Leisure facility would benefit the parishes?
Your Age:

	YES	NO
0-11	*Do you think an outdoor Sports & Leisure facility would benefit the parishes? Your Age: 0-11 YES	0-11 NO
12-18	12-18 YES	12-18 NO
19-40	19-40 YES	19-40 NO
41-60	41-60 YES	41-60 NO
61+	61+ YES	61+ NO

Please state reasons:

3. Would you like to see additional Sports & Leisure facilities for:
Your Age:

	Adults	Young people	Families
0-11	YesNo Would you like to see additional Sports & Leisure facilities for: Your Age:   0-11   Adults	YesNo Young people	YesNo Families
12-18	YesNo 12-18   Adults	YesNo Young people	YesNo Families
19-40	YesNo 19-40   Adults	YesNo Young people	YesNo Families
41-60	YesNo 41-60   Adults	YesNo Young people	YesNo Families
61+	YesNo 61+   Adults	YesNo Young people	YesNo Families

4. What would be the main attractions for you at a Bossingham & Stelling Minnis Sports & Leisure facility?
Your Age:

	Entertainment	Exercise	Fun	Relaxation	Socialising	Other
0-11	*What would be the main attractions for you at a Bossingham & Stelling Minnis Sports & Leisure facility? Your Age: 0-11 Entertainment	0-11 Exercise	0-11 Fun	0-11 Relaxation	0-11 Socialising	0-11 Other
12-18	12-18 Entertainment	12-18 Exercise	12-18 Fun	12-18 Relaxation	12-18 Socialising	12-18 Other
19-40	19-40 Entertainment	19-40 Exercise	19-40 Fun	19-40 Relaxation	19-40 Socialising	19-40 Other
41-60	41-60 Entertainment	41-60 Exercise	41-60 Fun	41-60 Relaxation	41-60 Socialising	41-60 Other
61+	61+ Entertainment	61+ Exercise	61+ Fun	61+ Relaxation	61+ Socialising	61+ Other

If Other, please state:

5. Are you interested in having outdoor Sports & Leisure facilities provided in our parishes? If YES what would you like to see?

Here is a list of activities suggested so far by our community. Please feel free to add your own.

• Adventure circuit
• An “Artwork” wall
• Barbecue facilities
• Basketball court
• Bowls
• BMX track
• Climbing wall/frames
• Cricket nets
• Crazy Golf
• Five-a-side pitch
• Fireman’s pole
• Gym equipment
• Hopscotch
• Monkey bars
• Netball court
• Picnic/Seating area
• Roundabouts
• Skateboard ramps
• Swings and slides
• Teenage“hang out” shelter
• Tennis court/practice wall
• Trampolines
• Toddlers’ Play Park
• Volleyball court

Your Age:

	Yes	No
0-11	*Are you interested in having outdoor Sports & Leisure facilities provided in our parishes? If YES what would you like to see? Here is a list of activities suggested so far by our community. Please feel free to add your own. • Adventure circuit • An “Artwork” wall • Barbecue facilities • Basketball court • Bowls • BMX track • Climbing wall/frames • Cricket nets • Crazy Golf • Five-a-side pitch • Fireman’s pole • Gym equipment • Hopscotch • Monkey bars • Netball court • Picnic/Seating area • Roundabouts • Skateboard ramps • Swings and slides • Teenage“hang out” shelter • Tennis court/practice wall • Trampolines • Toddlers’ Play Park • Volleyball court Your Age: 0-11 Yes	0-11 No
12-18	12-18 Yes	12-18 No
19-40	19-40 Yes	19-40 No
41-60	41-60 Yes	41-60 No
61+	61+ Yes	61+ No

Please state your top 5 choices:

6. Would you be interested in setting up and running a club or activity using these facilities?
Your Age:

	Yes	No
0-11	*Would you be interested in setting up and running a club or activity using these facilities? Your Age: 0-11 Yes	0-11 No
12-18	12-18 Yes	12-18 No
19-40	19-40 Yes	19-40 No
41-60	41-60 Yes	41-60 No
61+	61+ Yes	61+ No

If yes, please specify activity and target age group, if relevant:

7. Would you be willing to offer support to the project in any of the following:

Would you be willing to offer support to the project in any of the following:   Legal advice/Accountancy Landscape/Building Fund raising Sponsorship Donation

Other (all talents welcome!) please state:

8. We are actively seeking youth representation on the project. Would you be interested in getting involved?

Your age:

	Yes	No
0-11	*We are actively seeking youth representation on the project. Would you be interested in getting involved? Your age: 0-11 Yes	0-11 No
12-18	12-18 Yes	12-18 No

If so, please provide you and/or your parents contact details (Name, tel & email address):

9. It is important that we design the facilities to try to cater for both disabled and non disabled participants. Please state if you or a member of your household have any special needs or requirements:

It is important that we design the facilities to try to cater for both disabled and non disabled participants. Please state if you or a member of your household have any special needs or requirements:

10. Is there any other information you think we should consider, comments you would like to add, or designs/drawings you would like to put forward? (You can email designs/drawings to team@sportsforus.co.uk) ALL ages, please use the space below:

Is there any other information you think we should consider, comments you would like to add, or designs/drawings you would like to put forward? (You can email designs/drawings to team@sportsforus.co.uk) ALL ages, please use the space below:

11. Your name and address. Optional, but essential to stand a chance of winning the prize draw!

Your name and address. Optional, but essential to stand a chance of winning the prize draw!   Name:
Address:
Email Address:
Phone Number: