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Social Value Survey
Social Value Survey
Social Value Volunteer
Why should you complete this form?
Name
Age
Under 25
25-49
50 and over
50 and over
Prefer not to say
Where did you volunteer?
Spotlight
Other community centre
Employment
Are you employed?
Yes
No
If you have recently moved from unemployment to full-time employment, how satisfied are you with your job security?
Select option
Not satisfied at all
Most dissatisfied
Somewhat dissatisfied
Not satisfied or dissatisfied
Somewhat satisfied
Mostly satisfied
Completely satisfied
Not applicable
Do you volunteer at least once a month?
Yes
No
Neighbourhood
'I feel like I belong to this neighbourhood'
Select option
Strongly agree
Agree
Neither agree or disagree
Disagree
Strongly disagree
'If I needed advice about something I could go to someone in my neighbourhood'
Select option
Strongly agree
Agree
Neither agree or disagree
Disagree
Strongly disagree
'I regularly stop and talk with people in my neighbourhood'
Select option
Strongly agree
Agree
Neither agree or disagree
Disagree
Strongly disagree
Health
Do you suffer from depression or anxiety?
Yes
No
Prefer not to answer
Thinking back over the past 12 months, how would you say that your health has been on the whole, compared to people of your own age?
Select option
Excellent
Good
Fair
Poor
Very poor
Prefer not to say
Have you recently been losing confidence in yourself?
Select option
Not at all
No more than usual
Rather more than usual
Much more than usual
Prefer not to say
Thank you for completing this form. We appreciate that the questions you have answered here today contain some extremely personal information and so will be treated confidentially and with care. This information will be destroyed as soon as possible.
Data Protection
*
I agree to share my data as outlined below
When you use forms to get in touch with us, we collect personal information for the purposes of dealing with your enquiry. Our website is developed by Tessellate Design Studio Ltd and they are our data processor. Tessellate Design Studio will only process personal information in line with our instructions.
Read their full privacy notice.
The information submitted to us may also be stored longer on Poplar HARCA databases for the continuation of services to you. We will not share your information with any third party company unless we have sought your consent or to carry out a legal obligation to you, such as fix a repair.
Read our full privacy notice.
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