Strategies Group PLC - database driven websites, web and print design, databases, content management software, hosting and more!

Mildmay Local Neighbourhood Survey

We are conducting a survey about the local neighbourhood – whether you live, work, or study here - in order that we can better understand the issues affecting your community and what can be done to improve it.

It would be really appreciated if you could spare a few minutes of your time to answer the questions below. If you have any queries, please contact us using the contact details at the bottom of this page.

Any information you provide will be treated with discretion and in good confidence.


1.	Thinking about the local neighbourhood, which statement best summarises how you feel about it at the moment? Please mark one answer:	I feel really positive about it and have no or very few issues
		I feel fairly positive, but I do have some issues
		I feel quite disheartened - there are a lot of issues, but they can be resolved
		I feel extremely disheartened - there are too many issues and I have no confidence that they can be resolved


2.	Thinking about local public services, please mark with UP TO FIVE services in total that you personally feel currently need the most improvement	Refuse collection
		Recycling
		Street cleaning
		Upkeep and improvement of open spaces
		Street & estate lighting
		Estate caretaking
		''Green’ issues (e.g. energy efficiency)
		Policing
		Fire service
		Animal welfare
		Pest control
		Health & safety
		Food safety (shops, cafes, take aways, restaurants, etc)
		Public transport
		Traffic control & parking
		Ambulance service
		GP and hospital outpatient service
		Drug alcohol & smoking dependency
		Healthy eating and exercise
		Sexual health
		HIV and AIDS services
		Schools
		Libraries & information services
		Adult education
		Training & employment
		0-5 years services
		Child protection & family support
		Young people’s clubs & activities
		Youth offending teams
		Adult learning support
		Support for adults with mental & physical disabilities
		Hospital discharge & after care
		Occupational therapy
		Older people’s health & welfare
		Asylum seekers'' services
		Building control
		Planning applications
		Licensing applications

3.	Please use this space if you wish to provide any more detail about the way you feel about your local neighbourhood or local public services


In order for us to get the most from this survey, it would be helpful if you could provide us with the following information:
4.	Do you: (Please mark as many options as appropriate)	Live in this neighbourhood
		Work in this neighbourhood
		Run a business in this neighbourhood
		Study in this neighbourhood

5.	Which of the following best describes your current working status? (Please mark one answer only)	I am in full time employment (30+ hours per week)
		I am in part time employment (8-29 hours per week)
		I am caring full time for my family
		I am unemployed
		I am a full time student I am retired

6.	Please indicate your age group	15 or under
		16-18
		19-24
		25-34
		35-44
		45-54
		55-64
		65+

7.	Your gender	Male
		Female

8.	How many people live in your household?

9.	To which of these groups do you belong:	White British
		White Irish
		White other
		Indian
		Pakistani
		Bangladeshi
		Other Asian
		Chinese
		Black British
		Black Caribbean
		Black African
		Black (other)
		Mixed white and Black Caribbean
		Mixed White and Black African
		Mixed White and Asian
		Any other mixed background
		None of the above
		Prefer not to say

10.	If none of these describe your ethnic background, please tell us which ethnic group you come from:


We are looking for people to join a local residents' and local business panel so that we can explore local issues in greater detail and feed back your concerns and requests to local service providers. You would be invited to attend a small forum every few months, in return for which we would offer you a small reimbursement for your time. If you are interested, please enter the following information below. This information is confidential and will not be used for any other purpose outside of this survey. We will contact you in the next few weeks to tell you more about our panel and to establish your interest in taking part.
11.	Your name

12.	Your address:

13.	A contact telephone number

14.	Your e-mail address

Survey created by Mildmay Community Partnership. If you have any questions please contact us.