Neighbourhood Directions

A new men's project for your area.

We are developing a new project for men in your area. We want to put in place activities and sessions for men to participate in but we want the ideas for these sessions to come from you. We would really appreciate it if you took a few minutes to answer our survey below to help us develop the best possible project.

Question Title

* 1. Where do you live?

Northenden

Brooklands

Other

Question Title

* 2. Do you currenlty take part in any sports, activities or volunteering

Yes

Question Title

* 3. Regardless of whether you currently participate in anything or not, which of the following activities would you be interested in participating in? (tick all that apply)

Football

Walking Football

Walking

Cycling

Fitness

DIY

Meditation/Yoga

Learning new skills

Online gaming

Puzzles/board games

Reading

Photography

Listening to music

Volunteering

Dog Walking

Other (please specify)

Question Title

* 4. If you wanted to look for things to do in your area where would you look?

Local website

Newspaper

local shops

GP Surgery

Community centre

Local radio

Leaflets

Facebook

Twitter

Instagram

Other (please specify)

Question Title

* 5. How often over the past 2 weeks have you been bothered by the following?

	Not at all	Several Days	More than half the days	Nearly every day
Feeling anxious, nervous or on edge	Feeling anxious, nervous or on edge Not at all	Feeling anxious, nervous or on edge Several Days	Feeling anxious, nervous or on edge More than half the days	Feeling anxious, nervous or on edge Nearly every day
Not being able to stop or control worrying	Not being able to stop or control worrying Not at all	Not being able to stop or control worrying Several Days	Not being able to stop or control worrying More than half the days	Not being able to stop or control worrying Nearly every day
Little interest or pleasure in doing things	Little interest or pleasure in doing things Not at all	Little interest or pleasure in doing things Several Days	Little interest or pleasure in doing things More than half the days	Little interest or pleasure in doing things Nearly every day
Feeling down depressed or hopeless	Feeling down depressed or hopeless Not at all	Feeling down depressed or hopeless Several Days	Feeling down depressed or hopeless More than half the days	Feeling down depressed or hopeless Nearly every day

Question Title

* 6. Would you be interested in volunteering to lead a group or activity if full training and support was provided?

Yes

Question Title

* 7. Are you happy to provide us with your contact details so we can contact you to get you involved?

We will only use any details provided to contact you about the project and opportunities for you to get involved and support us as well as entering you in to the prize draw to win £20 of Just-Eat vouchers, personal data will not be passed to any third parties and will not be used for any other purpose. We may use statistics from this survey for our own reporting purposes or for future promotion, but this will be anonymised data and will not contain any personal information.

Name

Email Address

Phone Number

Question Title

* 8. Tick here to confirm your entry in to the prize draw for a £20 Just Eat voucher (Please provide contact details in previous answer)

Yes I would like to be entered in to the prize draw for a £20 Just East voucher.

Question Title

* 9. What age category do you fall into?

Under 18

18-24

25-34

35-44

45-54

55-64

65+

Question Title

* 10. How would you describe your gender?

Male

Female

Prefer not to say

None of the above