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The Faith Network
Mapping provision for people and families in need
Thank you for taking the time to complete this survey.
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1.
What is the name of your organisation?
2.
Please enter the address of your centre: *
3.
Please enter the postcode of your center:
4.
Please fill out the Primary Contact information:
Name of Primary Contact:
Email Address:
Phone Number:
Website Link (if you have one):
5.
Are you a faith based group?
Yes
No
Other Organisation:
6.
About your place of worship, organisation or group. Is your organisation best described as... *
Place of worship
Faith based organisation
7.
Which faith tradition does your place of worship, organisation or group represent? *
Alevism
Buddhism
Christianity
Hinduism
Islam
Judaism
Rastafarianism
Sikhism
Other (please specify)
8.
What language(s) is your service available in?
English
Albanian
Amharic
Arabic
Bengali
Bosnian Cyrillic
Bosnian Latin
Chinese
Chinese (simplified)
Croatian
Czech
Dari
Dutch
Farsi
Filipino
French
Gujarati
Hebrew
Hindi
Hungarian
Italian
Japanese
Korean
Kurdish-Bahdini
Kurdish-Kurmanji
Kurdish-Sorani
Lingala
Lithuanian
Polish
Portuguese
Punjabi
Pushto
Romanian
Russian
Serbian
Slovak
Somali
Spanish
Swahili
Tamil
Tigrinya
Turkish
Urdu
Welsh
Yoruba
Yiddish
Other (please specify)
9.
Please state your email. (We will keep your email on our database - this will be viewed by Hackney CVS staff and volunteers working on the faith network, but will not be shared with any other parties.)
10.
Do you provide any of the following services for free or low cost? Check all that apply.
Free
Charge
Food
Free
Charge
Clothing
Free
Charge
Shelter
Free
Charge
11.
Please explain the nature of the services provided in relation to food, shelter or clothing. *
12.
Do you provide any other relevant services? Please specify what that might be. *
13.
What geographic areas do the services cover?
14.
Is your service referral only? *
Yes
No
15.
If yes, what is the referral procedure?
16.
Please tell us the days and times when your service is open and what is provided at these times. *
17.
What is the average number of people attending or receiving help each time? *
18.
Do you have a working partnership with any of the following? *
Local Authority
NHS
GP
Police
Another faith group
Another voluntary sector group
No partnership with any of the above
Other (please specify)
19.
Is there any support you need or help to do these activities? *
20.
Is your building accessible. Please describe below:
21.
Would you like to receive information from the faith network on training and events?
Yes
No
22.
Can we publicise details of your service in a directory? *
Yes
No
Current Progress,
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