Centre User Evaluation Survey 2021 We appreciate your experiences and opinions. By sharing them with Mayfair, you are helping us to monitor and improve the services we offer to the community. It also helps us to evidence the difference we are making when applying for and reporting to funders. Question Title * 1. Which of the following services/activities do you use at Mayfair Community Centre? (Please select all that apply.) If your experience varies across services, please fill in separate evaluation forms for each one. 44bs Art / craft class Beacon Chair Yoga CoCo Coffee Shop - Health & Wellbeing Centre Complementary therapy Creche Dancing with Angela Extend IT / Digital support service Lunch club - Mayfair Cafe Mayfair Health Walks Mayfair Meal delivery MAYSI NHS / other appointment Other Ring and Ride Room hire Support group Tai Chi Telephone Befriending Upright and Active Yoga Question Title * 2. Where did you hear about us? Mayfair leaflet Medical Practice Mayfair poster Mayfair website/social media Local press Word of Mouth/Friend/Family Library Stretton Focus magazine other Question Title * 3. How long have you been using Mayfair services and activities/ less than 3 months 3 months- 1 year 1-3 years over 3 years Question Title * 4. Would you recommend Mayfair to your friends? Yes No Possibly If not ‘yes’, would you be happy to say why not? Question Title * 5. How would you rate the activity you do at Mayfair Community Centre? Excellent Very Good Good Satisfactory Poor Question Title * 6. What do you like about Mayfair and the activity you are involved in?Please give detail about specific services. Question Title * 7. What would improve Mayfair services/activities?Please give detail about specific services. Question Title * 8. Do you think your wellbeing has improved as a result of Mayfair services or activities? (tick one) Very much improved Improved Improved a little Unchanged Worse Question Title * 9. In which of the following ways,if any, have you benefited from visiting Mayfair/taking in part in our activities or services? (tick all that apply) Made new friends Had fun Learnt new skills Feel healthier Feel supported Feel more confident Less lonely More independent Less anxious More in control of my life Able to do things otherwise would not have been able to do No benefits Question Title * 10. If you have taken part in an physical activity class, how has this changed the amount of exercise you take? (tick one) A lot more More A Little more About the same less than I used to Question Title * 11. How do you feel your level of fitness has changed since doing this physical activity class? (tick one) Very much improved Improved A little improved Same Worse Question Title * 12. Which of the following benefits have you experienced since doing this physical activity? (tick all that apply) I am more supple I exercise more now I have more energy I have lost weight I have not benefited. Question Title * 13. Are you a tenant of South Shropshire Housing Association - Connexus? Yes No Question Title * 14. What is your gender? Female Male Other Question Title * 15. How old are you? 0-15 16-24 25-34 35-44 45-54 55-64 65-74 75-84 85-94 95+ Question Title * 16. Do you consider yourself disabled? Yes No Question Title * 17. Are you a carer? Yes No Question Title * 18. Do you have or have you had any of the following health issues? Heart disease Mental health issues Chronic health condition Learning difficulty Diabetes High blood pressure Stroke Recent fractures /broken bones other Question Title * 19. How would you describe your ethnic origin? White British Irish Gypsy or Irish Traveler Other White White and Black Caribbean White and Black African White and Asian Other Mixed or Multiple ethnic background Indian Pakistani Bangladeshi Chinese Other Asian background African Caribbean Other Black, African or Caribbean background Arab Other ethnic group Question Title * 20. Have you completed more than one of these forms? Yes No Done
