Survey about You and the new Centre
Name
First Name
Last Name
Gender
Female
Male
Prefer not to say
Age bracket
16-24
25-34
35-44
45-54
55-65
65+
prefer not to say
marital status
single
married
divorced
prefer not to say
Children
yes
no
If 'yes' to previous question, how many?
What city do you live in?
Back
Next
If you live in Nottingham, which area do you live in?
Basford
Bilborough
Bobbers Mill
Bulwell
Clifton
Hyson Green
Forest Fields
Lenton
Nottingham City Centre
Radford
Sherwood
Carrington
Sneinton
St Ann's
The Meadows
Wilford
Wollaton
What's your profession?
Do you work?
Yes, full-time
Yes, part-time
No, I stay at home and look after my kids
No, I am unemployed
No, I am retired
Prefer not to say
Your Interests
What do you do in your spare time?
Are you interested in:
Arts
Music
Carnival
Education
Parties
Socialising with like-minded people
Dance
Cultural events
Fitness and well-being
Film and cinema
Anything else that you are interested in:
How often do you spend time doing what you love?
once a week
twice a week
three times a week
four times a week
all week
only weekends
I don't have time to do any extra activities
How do you usually choose a new activity?
when a friend who wants to start something new asks me along
when someone or a friend recommends it
when I see a bargain or a free event
I don't like to try new things
About the new Brazilian Cultural Centre
Do you like the idea of a new Cultural Centre?
yes
no
indifferent
What do you think the centre should offer?
Music
Art
Cinema/Film
International Guests Artists
Kids Cultural Club
Gigs
Shows
Gatherings
Carnival parades
Dance classes and workshops
Performances
Opportunities for like-minded people to meet and hang out
Information on local Brazilian services
Annual Calendar of events
Food/drinks bazaars
Other
Would you be interested in doing voluntary work for the centre?
yes
no
How would you see yourself helping the centre?
What would you say is the purpose of a Cultural Centre?
When the centre is up and running would you like to spend time there and get involved?
yes
no
If 'yes' to the question above, how often?
Would you be willing to become an annual member to help support the centre?
yes
no
maybe, depending on the cost
How much do you think would be acceptable for you to become a member?
£10 per year
£20 per year
£30 per year
£40 per year
£50 per year
If you were a member, what would you expect to get with your membership?
10% discount on any events and classes run by the centre
20% discount on any events and classes run by the centre
30% discount on any events and classes run by the centre
40% discount on any events and classes run by the centre
Half-price discount on any events and classes run by the centre
Any other comments you would like to share with us?
Disability
The Equality Act 2010 generally defines a disabled person as someone who has amental or physical impairment that has a substantial and long-term adverseeffect on the person’s ability to carry out normal day-to-day activities.
Type a question
Yes
No
Prefer not to say
Ethnic Group
What is your ethnic group?
Religion or Belief
Do you have a religion or belief?
yes
no
prefer not to say
If you answered 'yes' to the question above, can you tell us what is your religion?
Sexual Orientation
What is your sexual orientation?
bisexual
heterosexual
homosexual
prefer not to say
Other
Thank you for taking the time to complete this survey!
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