German Lutheran Church Accessible Community Space Question Title * 1. A new accessible community space is planned for the centre of Cambridge at the German Lutheran Church (GLC). The space will include two meeting rooms, a large modern kitchen which can cater for events, and an accessible toilet (with adult size changing bench and hoist), at Shaftesbury Road in Cambridge. More details of the facility can be found here: www.german-church.org/cambridge/fundraisingWhat would you consider using this new accessible community space for? Please tick all options which apply. Community meeting Baby / toddler group Family event Charity event Special school event Business meeting Other (please specify) Question Title * 2. In what capacity you would use the facility? Please tick all boxes which may apply Private individual / family Community group Charity Business Please tell us the name of your group / organisation / business / charity etc Question Title * 3. The larger room can sit 60 people theatre style, and the smaller room can comfortably accommodate 15 people boardroom style. How many people would be involved in your group / event? 1-5 6-10 11-15 15-20 20-50 50+ Unsure Comments Question Title * 4. How often would you consider using the GLC Community Space? Once a week or more often At least once a month At least twice a year Once a year Unsure, but interested in using the facility occasionally Never Any other comments? Question Title * 5. When are you most likely to use the facility? Please select all options which may apply Weekday morning Weekday afternoon Weekday evening Weekend morning Weekend afternoon Weekend evening Unsure Question Title * 6. There will be two toilets - one standard toilet and one accessible toilet. Would you use the accessible toilet? Please tick all answers which apply. Yes I would use the disabled toilet and hand basin Yes I would use the changing bench for a child age 0-5 Yes I would use the changing bench for a child age 6-16 Yes I would use the changing bench for an adult Yes I would use the hoist I would not need the toilet to be accessible Please let us know of any specific requirements you may have for the accessible toilet. Question Title * 7. Would you use the kitchen? There will be a cooker, oven, kettle, fridge, dishwasher and microwave. Crockery and cutlery will be provided. Please select all options which apply. Yes, for making tea and coffee Yes, for making cold snacks / meals Yes, for making hot food I may hire caterers who may need to use the kitchen No Question Title * 8. How far are you from the GLC community space? Within 3 miles 3-5 miles 5-10 miles 10-20 miles More than 20 miles Question Title * 9. Please enter your contact details if you wish to receive further information about the GLC accessible community space Name Company / Organisation Address Address 2 City/Town County Post code Country Email Address Phone Number Question Title * 10. Please let us know what difference a facility like this would make to you, the local community and/or your organisation. Please also let us know if you have any other comments about this new accessible community facility. Done