Project 101

1. Please complete the following questions.

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* 1. Name:

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* 2. Address:

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* 3. Did you find the visit by Project 101 staff useful?

Yes

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* 4. Would you use Project 101 services in the future as a result of this visit?

Yes

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* 5. Was your visit at a suitable time?

Yes

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* 6. Do you feel you had enough time to discuss any issues with Project 101 staff?

Yes

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* 7. Do you feel that any issues you raised during your visit were adequately followed up afterwards?

Yes

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* 8. From the list of items contained within your starter pack please tick whether you found each item useful or not useful.

	Useful	Not Useful
Washing Powder	Washing Powder Useful	Washing Powder Not Useful
Toilet Rolls	Toilet Rolls Useful	Toilet Rolls Not Useful
Washing-Up Liquid	Washing-Up Liquid Useful	Washing-Up Liquid Not Useful
Toothbrush	Toothbrush Useful	Toothbrush Not Useful
Toothpaste	Toothpaste Useful	Toothpaste Not Useful
Soap	Soap Useful	Soap Not Useful
Shampoo	Shampoo Useful	Shampoo Not Useful
Cream Cleaner	Cream Cleaner Useful	Cream Cleaner Not Useful
Bulbs	Bulbs Useful	Bulbs Not Useful
Dustpan & Brush	Dustpan & Brush Useful	Dustpan & Brush Not Useful
Washing- Up Basin	Washing- Up Basin Useful	Washing- Up Basin Not Useful
Rubber Gloves	Rubber Gloves Useful	Rubber Gloves Not Useful
Scouring Pads	Scouring Pads Useful	Scouring Pads Not Useful
Potato Peeler	Potato Peeler Useful	Potato Peeler Not Useful
Cleaning Cloths	Cleaning Cloths Useful	Cleaning Cloths Not Useful
Kitchen Utensils	Kitchen Utensils Useful	Kitchen Utensils Not Useful
Clothes Pegs	Clothes Pegs Useful	Clothes Pegs Not Useful
Dish Clothes	Dish Clothes Useful	Dish Clothes Not Useful
Dish Clothes	Dish Clothes Useful	Dish Clothes Not Useful
Hand Towel	Hand Towel Useful	Hand Towel Not Useful
Bath Towel	Bath Towel Useful	Bath Towel Not Useful
Colander	Colander Useful	Colander Not Useful
Plates	Plates Useful	Plates Not Useful
Mugs	Mugs Useful	Mugs Not Useful
Tin Opener	Tin Opener Useful	Tin Opener Not Useful
Cutlery	Cutlery Useful	Cutlery Not Useful
Measuring Jug	Measuring Jug Useful	Measuring Jug Not Useful
Dish Brush	Dish Brush Useful	Dish Brush Not Useful
Oven Glove	Oven Glove Useful	Oven Glove Not Useful
Alarm Clock	Alarm Clock Useful	Alarm Clock Not Useful
Cutlery Tray	Cutlery Tray Useful	Cutlery Tray Not Useful

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* 9. Are there any items which are not included in the starter pack which you feel should be?

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* 10. Are there any changes which you think could be made that would improve this service?

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* 11. Can Project 101 contact you in the future to ask your views on Youth Housing Issues?

Yes

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* 1. Name:

Question Title

* 2. Address:

Question Title

* 3. Did you find the visit by Project 101 staff useful?

Question Title

* 4. Would you use Project 101 services in the future as a result of this visit?

Question Title

* 5. Was your visit at a suitable time?

Question Title

* 6. Do you feel you had enough time to discuss any issues with Project 101 staff?

Question Title

* 7. Do you feel that any issues you raised during your visit were adequately followed up afterwards?

Question Title

* 8. From the list of items contained within your starter pack please tick whether you found each item useful or not useful.

Question Title

* 9. Are there any items which are not included in the starter pack which you feel should be?

Question Title

* 10. Are there any changes which you think could be made that would improve this service?

Question Title

* 11. Can Project 101 contact you in the future to ask your views on Youth Housing Issues?

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* 12. Any other comments