Social Value Survey | Poplar HARCA

Why should you complete this form?

Name

Age

Under 25

25-49

50 and over50 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?

Do you volunteer at least once a month?

Yes

No

Neighbourhood

'I feel like I belong to this neighbourhood'

'If I needed advice about something I could go to someone in my neighbourhood'

'I regularly stop and talk with people in my neighbourhood'

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?

Have you recently been losing confidence in yourself?

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.