Local Residents' Survey LEISURE & CULTURAL FACILITIES

We would like to find out what the residents of Erewash like to do in their spare time, where they like to go and what new activities they would like to see made available. This will help the council to plan for Culture and Leisure provision in the future.

Q1. Please indicate what leisure and cultural activities you take part in your spare time? Please select all that apply.		Visit Museums and Arts Galleries
		Visit Parks and Open Spaces
		Attend Arts or Music Events / Concerts
		Attend Sports Centre
		Attend Health and Fitness Club
		Member of Sports Club
		Member of Music Group/ Band
		Attend the Theatre

Other (Please specify)

Q2. Do you use or visit any of the following Leisure and Cultural facilities in Erewash? Please indicate how often you use them.
	Daily		Weekly		Monthly		Occasionally		Never
Sports, Swimming, Health and Fitness Facilities
Parks, Play Areas and Open Spaces
Arts and Entertainment Venues and Events (including cinema)
Museums and Galleries
Playing Pitches

Q2a. If you have stated that you use the provision listed above please tell us which facilities you use most often.
	Sports, Swimming, Health and Fitness Facilities
	Parks, Play Areas and Open Spaces
	Arts and Entertainment Venues and Events (including cinema)
	Museums and Galleries
	Playing Pitches

Q3. How would you rate the overall quality of the facilities you use?
	Excellent		Very Good		Average		Poor		Very Poor		Not Applicable
Sports, Swimming, Health and Fitness Facilities
Parks, Play Areas and Open Spaces
Arts and Entertainment Venues and Events (including cinema)
Museums and Galleries
Playing Pitches

Q4. When using these facilities what is the most common method of transport you use to get there?
	Walk		Drive		Bus		Cycle
Sports, Swimming, Health and Fitness Facilities
Parks, Play Areas and Open Spaces
Arts and Entertainment Venues and Events (including cinema)
Museums and Galleries
Playing Pitches

Q5. How long does it take you to travel to your nearest facility/venue using the method of transport indicated in Q4?
	Less than 5 minutes		6-10 minutes		11-20 minutes		21-30 minutes		31-60 minutes		More than 60 minutes
Sports, Swimming, Health and Fitness Facilities
Parks, Play Areas and Open Spaces
Arts and Entertainment Venues and Events (including cinema)
Museums and Galleries
Playing Pitches

Q6. Is there anything that prevents you from using leisure and cultural provision in Erewash?		No time		Not enough money
		Too far away		Getting there
		Don't feel safe		Age / disability
		Vandalism		No facilities
		Anti-social behaviour		No one to go with

Other (please specify)

Q7. Is there anything that would encourage you to use leisure and cultural provision in Erewash more often, or stay for longer?

Q8. How satisfied are you with the level/amount of existing provision(s) in Erewash?
	Very Satisfied		Satisfied		Neither Satisfied or Dissatisfied		Dissatisfied		Very Dissatisfied
Sports, Swimming, Health and Fitness Facilities
Parks, Play Areas and Open Spaces
Arts and Entertainment Venues and Events (including cinema)
Museums and Galleries
Playing Pitches

Q9. What other facilities would you like to see in your area, and where?

Q10. Please use the space to provide any additional comments you would like to make in relation to leisure and cultural provision in Erewash

EQUALITIES MONITORING

Please do not be offended by the following questions, the information you provide will help us to make sure that we consult with and offer equal opportunities to as many members of our community as possible. You do not have to fill in anything you don't want to. You cannot be identified by the information given in this section.

Are you (please select)
	Male		Female

How old are you?		Under 18
		18-29
		30-49
		50-65
		Over 65

To which ethnic group do you belong? (please select the box to indicate your cultural background)		White - British
		White - Any other White Backgound
		White - Irish
		Asian or Asian British - Indian
		Asian or Asian British - Pakistan
		Asian or Asian British - Bangladeshi
		Asian or Asian British - any other Asian background
		Mixed - White and Black Caribbean
		Mixed - White and Black African
		Mixed - White and Asian
		Any other Mixed background
		Black or Black British - Caribbean
		Black or Black British - African
		Any other Black Background
		Chinese
		Any other ethnic group

Which best describes your current work status? (please select)		Working full time (30 hours +)
		Working part time (less than 30 hours)
		Self employed
		Unemployed
		Not in paid work (looking after house/children)
		Not in paid work (Looking after sick or disabled)
		Retired
		Permanently sick / disabled

Other (please state)

Do you consider yourself to have a disability?

Yes

No

(The DDA act 1995 states that 'a person has a disability for the purpose of the Act if they have a physical or mental impairment which has a substantial and long term effect on their ability to carry out normal day to day activities')

If Yes - please specify		Physical Impairment
		Hearing Impairment
		Visual Impairment
		Mental Health Problem
		Learning Disability

Other (please state)