BGC Renfrew County Needs Assessment Family/Household Information Question Title * 1. Where are you a resident? Pembroke Petawawa Deep River Chalk River Cobden Westmeath Eganville Barry's Bay Killaloe Golden Lake Town of Renfrew Arnprior Other (please specify) Question Title * 2. BGC Renfrew County is looking to expand; If BGC were to host a satellite program in your community, would you be likely to attend? For example, a drop-in holiday themed workshop at your local community hall/Rec. Centre/Legion/library/etc. Yes, we would attend if interested. Unsure if we would attend. No, we would not attend even if interested. Question Title * 3. Does your family currently have a club membership with us? Yes, we are currently members. No, we are not members. Our membership has lapsed. Question Title * 4. How many children between the ages of 4 - 18 years are in your household? Question Title * 5. How many extra-curricular activities are your child(ren) participating in during a week? Question Title * 6. If your family is not currently accessing programs offered by BGC Renfrew County, why is that? My family does not have transportation to the clubhouse. My family does not live in Pembroke, the distance is an issue. There are no programs suited for my child(ren)'s age. We did not know about BGC Renfrew County. The cost to enroll is too much. My child(ren) are outside of membership age range of 4-18 years. The dates and times don't align with our family's schedule. Question Title * 7. Does your family encounter barriers to accessing BGC programs that weren't listed in the question above? If so, please list them below. Question Title * 8. To provide the best experience, we would like to collect details related to receiving support. Do any of the following apply to your family or child(ren)? Military Family New Canadian Visible Minority First Nations/Metis/Inuit Francophone Person with a disability Single Parent None apply I prefer not to answer Question Title * 9. To better understand our customers, we would like to collect socio-economic information. Feel free to select from the following or leave the question blank. Our family is: Upper-class. Middle-class. Lower middle-class. Working-class. Low income. Fixed income. Prefer not to say. Next
