Country Park Needs Assessment

**  All completed questionnaires will be entered in a FREE PRIZE DRAW to WIN a Garmin GPS  **

1.

	Do you or your family use any of the following Country Parks or Open Space?
	Alice Holt
	Fleet Pond
	Dinton Pasture
	Wellington Country Park
	Yateley Common
	I don't use any! (will redirect you to question 9)

2.

	How often do you visit?
	1 to 5 times a year
	6 to 11 times a year
	1 to 3 times a month
	Every Week
	More than once per week
	Every day

3.

	How do you travel to the site you visit most?
	Drive
	Public Transport
	Cycle
	Horseback
	Walk

4.

	How long does it take you to get there?
	Up to 5 Minutes
	6-10 Minutes
	11 -20 Minutes
	21-30 Minutes
	31- 60 Minutes
	More than 60 Minutes

5.

	Is your travel time acceptable?
	Yes
	No

	If no, please specify why not in the space provided:

6.

	In your ideal Country Park what facilities would you like to see most? (Please select all that apply)
	More Picnic Areas
	Better Play Facilities
	Better Signage
	Barbeque Areas
	On Site Staff
	Car Parking
	Toilets
	Visitor Centre
	Cafe Facilities

	Other, Please Specify:

7.

	Why do you visit the park? (Please select all that apply)
	To go for a walk
	To walk the dog
	To take the family
	To meet friends
	To attend events
	To attend guided walk
	To watch wildlife
	To play sport
	To watch sport
	To go horseriding
	To go cycling
	To feed the birds/ducks/squirrels
	To go for barbeque/ picnic

	Other, Please Specify:

8.

	What do you like about the site you visit most?

9.

	Is there anything that prevents you visiting the Country Parks, Parks and Open Spaces in the District?            (Please select all that apply)
	Lack of facilities
	Vandalism and graffiti
	Lack of transport
	Too far away
	Lack of information
	Fear of crime and anti social behaviour
	Dog fouling
	Quality of facilities
	Poor signage
	Too remote

	Other, Please State:

10.

	Do you think you have enough open space near to where you live?
	Yes
	No

11.

	Does the open space provided meet you and your families needs?
	Yes
	No

	If no, please state why:

ABOUT YOU

The following questions are voluntary. Information you provide will be shared with Hart District Council for the purpose of service monitoring and improvement, to enable the Council to respond to specific issues raised. Data will not be used for any other purpose apart from those set out above. Your opinions will not be linked to anything that could identify you.

12.

	Are you?
	Male
	Female

13.

	Please state your age:
	Under 16	30-44
	16-19	45-59
	20-24	60-69
	25-29	70+

14.

	Which of the following best describes your ethnic group?
	White - British
	White - Irish
	Other White
	Mixed British - White and Black Caribbean
	Mixed British - White and Black African
	Mixed British - White and Asian
	Mixed British - Other mixed background
	Asian/Asian British - Indian
	Asian/Asian British - Pakistani
	Asian/Asian British - Bangladeshi
	Asian/Asian British - Other Asian background
	Black/Black British - Caribbean
	Black/Black British - African
	Black/Black British - Other Black background
	Chinese
	Roma/Gypsy

	Other, please specify:

15.

	Do you consider yourself to be disabled? The Disability Discrimination Act defines disability as: 'A physical or mental impairment which has a substantial and long-term adverse effect on a person's ability to carry out day-to-day activities.'
	Yes
	No

16.

	Please select the first numbers and digits of your postcode from the list below:
	--Click Here--GU9 0 GU9 7GU9 9 GU10 5GU11 1GU11 2GU11 3GU12 4GU12 5GU14 0GU14 6GU14 7GU14 8GU14 9GU15 1GU15 2GU15 3GU16 7GU16 8GU16 9GU17 0GU17 9GU34 1GU34 2GU34 4GU46 6GU46 7GU47 0GU47 8GU47 9 GU51 1GU51 2 GU51 3GU51 4GU51 5 GU52 0GU52 6GU52 7GU52 8GU52 9RG7 1RG7 2RG25 2RG27 0RG27 8RG27 9RG29 1RG40 3RG40 4RG40 6RG40 7

	If other, please state here:

17.

	Please provide your name and a contact telephone number or e-mail address if you wish to be entered in the free prize draw to win a Garmin GPS

Thank you on behalf of Hart District Council for taking the time to complete this survey.

If you are happy with your response please click the 'submit' button below

Data Protection: Hart District Council and Strategic Leisure regard the lawful and correct treatment of personal information as very important and to this end is fully committed to the principles of data protection, as set out in the Data Protection Act. The survey results will be used solely for evaluation purposes. No information contained in the results will be attributed to the person who submitted it without their explicit consent being obtained in advance. All data collected by the Strategic Leisure for the purpose of surveys will be held and processed by Strategic Leisure in a secure environment. All data will be anonymised where necessary and stored for a maximum of two years and then destroyed.