membercensus - Grassmarket Community Project

General Information

This survey is conducted to help us understand your experiences with the Grassmarket Community Project and get your feedback about what is going well and what could be better. This feedback will help us improve upon our work and assist us in getting funding. We will never share your information with anyone without your permission or put your name against any information we share with funders. The information gathered is only for the Grassmarket staff and Lead Volunteers (all of whom have been Police and reference checked and would be fully investigated and disciplined if they breached confidentiality).

Name(Required)

First Last

What is your date of birth?(Required)

Has you phone number, emergency contact, address, email or contact details changed since you last completed this form ? (Required)

Yes

No

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email Address(Required)

Landline Phone Number(Required)

Mobile Phone Number(Required)

Within the last 5 years, have you experienced or are you currently experiencing any of the following?(Required)

[Choose all that apply].

Any other issue(s) or experience(s) you would like to make us aware of? If so, please explain.

General Information

Generally, how often do you feel or have experienced...

	None of the time	Rarely	Some of the time	Often	All of the time
Feeling optimistic about the future
Feeling useful
Feeling relaxed
Feeling interested in other people
Having the energy to spare
Being able to deal with problems well
Being able to think clearly
Feeling good about myself
Feeling close to other people
Feeling confident
Being able to make up my own mind about things
Feeling loved
Being interested in new things
Feeling cheerful

Do you want to remain a member of the Grassmarket Community Project?(Required)

Yes

No

What are the main benefits of participating in activities at the Grassmarket?(Required)

Other (please specify):

Would you like to share a highlight of 2023? (Please let us know what you enjoyed the most this year as a GCP member)

For each statement, choose what best describes the effect that being involved with Grassmarket has on you.

	None of the time	Rarely	Some of the time	Often	All of the time
I’ve been feeling optimistic about the future
I’ve been feeling relaxed
I’ve been feeling interested in other people
I’ve been dealing with problems well
I’ve been feeling good about myself
I’ve been feeling close to other people
I’ve been feeling confident
I’ve been able to make decisions on my own
I’ve been interested in new things
I’ve been feeling positive

If you currently do not attend activities (in-person or online), please tell us why(Required)

[Choose all that apply].

Other reason(s) for not attending the activities you'd like to (please specify):

GCP Biannual Member Census

General Information

General Information

Feedback on Activities

GCP Biannual Member Census

General Information

General Information

Feedback on Activities

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