2019 Survey of Mulgrave Residents

Question Title

* 1. Are you a local resident?

Yes

No (Thank you for your time)

Question Title

* 2. Do you know anything about Mackie Rd Neighbourhood House (Mackie Rd NH? Such as

Where it is

What classes/groups/services we offer

Opening hours

How to contact us and access website

Question Title

* 3. Have you ever visited Mackie Rd Neighbourhood House (If completing this form in the house, have you been here before)?

Yes

Question Title

* 4. If yes, when did you last visit the House and for what reason? If no, has anything prevented you from visiting?

Question Title

* 5. Would you be interested in participating in activities at Mackie Rd Neighbourhood House, now or in the future?

Maybe/Yes

Unsure/No

Question Title

* 6. What activities/groups would you be interested in, and what days/time suit you best?

Language Classes (French, Italian, Other......)

Health and Wellbeing Classes (e.g. Yoga, Pilates, Strength Training, TaiChi, Nia)

Art/Craft Classes

Volunteer work (Office, Playgroup, Committee)

Programs for primary-school aged children (Art, Yoga&Creative Dance, French)

Support Groups

Playgroups

Other activities/groups

Weekday Morning

Weekday Afternoon

Weekday Evening

Weekend Morning

Weekend Afternoon

Weekend Evening

During School Term

During School Holiday

N/A

Question Title

* 7. Are there any issues in your Neighbourhood that you are concerned about?

Yes

Question Title

* 8. Please describe these (If you do not have any concern, just write N/A)

Question Title

* 9. Please leave your personal details so that you can keep up to date with what's on offer at Mackie Rd Neighbourhood House. If you are not interested in receiving our program, please fill in N/A.

Your Name

Contact Number

Email Address

2019 Survey of Mulgrave Residents

Question Title

* 1. Are you a local resident?

Question Title

* 2. Do you know anything about Mackie Rd Neighbourhood House (Mackie Rd NH? Such as

Question Title

* 3. Have you ever visited Mackie Rd Neighbourhood House (If completing this form in the house, have you been here before)?

Question Title

* 4. If yes, when did you last visit the House and for what reason? If no, has anything prevented you from visiting?

Question Title

* 5. Would you be interested in participating in activities at Mackie Rd Neighbourhood House, now or in the future?

Question Title

* 6. What activities/groups would you be interested in, and what days/time suit you best?

Question Title

* 7. Are there any issues in your Neighbourhood that you are concerned about?

Question Title

* 8. Please describe these (If you do not have any concern, just write N/A)

Question Title

* 9. Please leave your personal details so that you can keep up to date with what's on offer at Mackie Rd Neighbourhood House. If you are not interested in receiving our program, please fill in N/A.

Question Title

* 10. Any other comments or suggestions for Mackie Rd Neighbourhood House?