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Parental Satisfaction Survey 2011 - 2012
Trafford Children's Centres are actively trying to work with local communities to share information of services on offer, and to seek your views on what you want from your Centre.
About You (the parent filling out this form)
1.
Gender:
Male
Female
2.
Ethnic Group:
White British
White Irish
White Traveller of Irish Heritage
White Gypsy / Roma
Any Other White Backgroud
Asian or Asian British Indian
Asian or Asian British Pakistani
Asian or Asian British Bangladeshi
Any Other Asian Background
Black or Black British Caribbean
Black or Black British African
Any Other Black Background
Mixed White and Black Caribbean
Mixed White and Black African
White and Asian
Any Other Mixed Background
Chinese
Other Ethnic Group
Prefer Not To Say
3.
Age:
Under 16
16 - 21
21 - 30
31 - 40
41+
About Your Family
*
4.
Number of adults in the household:
(Required.)
*
5.
Number of Children under 5 yrs:
(Required.)
*
6.
Number of Children over 5 yrs:
(Required.)
*
7.
So we can identify which Children's Centre area you live in, please tell us your postcode:
(Required.)
All responces to this survey will go into a prize draw to win Mothercare vouchers (£100, £50 and £20) So we can contact you please tell us your.........
*
8.
Name:
(Required.)
9.
Email:
10.
Phone Number:
*
11.
Mobile:
(Required.)
12.
Do you use services linked to your Children's Centre?
Yes
No