We would be very grateful if you could spare a couple of minutes to complete this questionnaire. Replies are confidential and will assist us in improving the service. Thanks!
Town
Postcode
How often do you visit these facilities? First visit Daily Once a week 2 to 3 times a week 4 to 5 times a week Once a fortnight Monthly Every 2 months Yearly Been before/not recently
What activities are you participating in? E.g. public swimming, club swimming, swimming lessons, gym, spectator
Tell us how you think we are performing regarding the following:
Building appearance/maintenance -- Please Select -- Poor Below Average Average Good Excellent
What are the 3 most important things to you from the list above?
Gender -- Please Select -- Male Female
Age -- Please Select -- 10-16 17-19 20-24 25-34 35-44 45-59 60+
Current Status -- Please Select -- Full Time Work Part Time Work Housewife/Husband Full Time Education Retired Unemployed Disabled/Sickness
Ethnic Origin -- Please Select -- African Any other Asian background Any other Black background Any other mixed background Bangladeshi Black and Black British Caribbean Chinese or other ethnic group Do not wish to disclose Irish Mixed Other Ethnic Group Other White background Pakistani White and Black African White and Black Caribbean White Asian White British
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