Questionnaire

Name

Your e-mail address

Do you use trinity...

Please select one

	once a week or more	monthly/quarterly	once a year or less	never
How often do you use Trinity

What would encourage you to use a community building or leisure facility?

Please select a number between 1-5 to show how important each criteria is for you 1= not very important 5 = very important

	1	2	3	4	5
Quality of service
Central location
Large hall space
Smaller meeting room space
Well heated/insulated (i.e. can control temperature to suit activity)
Accessible (i.e. wheelchair accessible)
Private (i.e. private function rooms)
Open (i.e. drop-in use)
Flexible (i.e. can change space to suit activity)
Child friendly space

Are you interested in any of the following activities?

Please select a number between 1-5 to show how interested you are in each activity 1= not very interested 5 = very interested

	1	2	3	4	5
Gigs/events
Jobs fairs, art markets, flea markets
Meetings, conferences, public forums
Private hire (i.e. weddings/parties)
Projects
Training courses
Weekly classes
Volunteering
Sports

Suggestions and comments

Please let us know about any other activities you are interested in, or any suggestions and comments you have about our services and the building. We are interested in any feedback to help us develop activities that appeal to the different users within our diverse communities.

Equal opportunities monitoring

The following information will be used for monitoring purposes only

Race & Ethnicity

Please leave blank if you prefer not to answer

Age

Please leave blank if you prefer not to answer

Disability

Do you consider yourself to have a disability? Please leave blank if you prefer not to answer

Yes
No

Postcode

Please provide all or part of your postcode, i.e. BS2

Sections

Personal tools

Asian or Asian British - Indian
Asian or Asian British - Pakistani
Asian or Asian British - Bangladeshi
Asian or Asian British - Other
Black or Black British - Caribbean
Black or Black British - African
Black or Black British - Somali
Black or Black British - Other
Chinese
Other Ethnic Group
Dual Heritage - White and Black Caribbean
Dual Heritage - White and Black African
Dual Heritage - White and Asian
Dual Heritage - Other
White - British
White - Irish
White - Irish Traveller
White - Eastern European
White - Roma/Gypsy Showperson
White - Other