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调研问卷模板英文版.doc

1、 Helpful hints for completing this questionnaire · The questionnaire should be completed by any resident aged 18 or over living at this address. · Please read each question carefully and tick a box to indicate your answer. · In most cases you will only have to tick one box but please r

2、ead the questions carefully as sometimes you will need to tick more than one box. · Answer the next question unless asked otherwise. · Once you have finished please take a minute to check you have answered all the questions that you should have answered. · The survey consists of 7 pages and shoul

3、d take no longer than 10 minutes to complete. · If you have any queries about the questionnaire please do not hesitate to contact Miller Associates on 023 8081 2329 · Once you have completed the questionnaire please return in the pre-addressed envelope supplied by 24 September 2008. You do not nee

4、d to add a stamp · If you cannot find or did not receive the pre-addressed envelope please send to Miller Associates, Freepost (S) 4120), TOTTON, Southampton, SO40 7EW (you do not need to add a stamp) or call 023 8081 2329 1. Thinking generally, which of the things below would you say are most imp

5、ortant in making somewhere a good place to live? Pick tick up to FIVE boxes only in the left column below 2. And thinking about your local neighbourhood (within 15-20 minutes walking distance of where you live), which of the things below, if any, do you think most need improving? Please tick up

6、to FIVE boxes in the right column below Most important in making somewhere a good place to live Most needs improving in this local area Access to nature Activities for teenagers Affordable decent housing Clean street Community activities Cultural facilities (for

7、example cinema, theatres, museums) Education provision Facilities for young children Health services Job prospects The level of crime The level of pollution The level of traffic congestion Parks and open spaces Public transport Race relations Ro

8、ad and pavement repairs Shopping facilities Sports and leisure facilities Wage levels and local cost of living Other (WRITE IN BELOW None of these Don’t know 3. Overall, how satisfied or dissatisfied are you with this neighbourhood as a place to live? Please ti

9、ck one box only Very satisfied Fairly satisfied Neither satisfied nor dissatisfied Fairly dissatisfied Very dissatisfied 4. How strongly do you feel you belong to your local neighbourhood? Please tick one box only Very strongly Fairly strongly Not very strongly Not at

10、 all strongly 5. Would you say your local neighbourhood is a place you enjoy living in? Please tick one box only Yes definitely Yes, to some extent No 6a. To what extent do you agree or disagree that your local neighbourhood is a safe place to live? Please tick one box only

11、 b. To what extent do you agree or disagree that Basingstoke town centre is a safe place? Please tick one box only c. To what extent do you agree or disagree that other parts of the borough are safe places generally? Please tick one box only Local Neighbourhood Town Centre Other parts

12、 of the borough Definitely agree Tend to agree Tend to disagree Definitely disagree Don’t know 7. Thinking about your local neighbourhood, how much of a problem do you think are……. Please tick one box per row A very big problem A fairly big problem Not a

13、 very big problem Not a problem at all Don’t know Parents not taking responsibility for the behaviour of their children People not treating other people with respect and consideration Noisy neighbours or loud parties Teenagers hanging around the streets

14、 Rubbish and litter lying around People being drunk or rowdy in public places Abandoned or burnt out cars Vandalism, graffiti or other deliberate damage to property or vehicles People using or dealing drugs 8. Generally how safe do you feel

15、in the following situations? Please tick one box per row Very safe Fairly safe Neither Fairly unsafe Very unsafe Inside your home during the day Inside your home during the night Outside your home during the day Outside your home during the night

16、 9. If you do not feel safe in any of these situations, why do you say this? Please write in below 10. Most of us worry at some time or other about being a victim of crime. How worried are you about each of the following……….? Please tick one box per row Very worried Fairly wo

17、rried Not very worried Not at all worried Don’t know Having your home broken into and something stolen Being mugged and robbed Being physically attacked by strangers Being insulted or pestered by anybody, while in the street or any other public place B

18、eing subject to a physical attack because of your skin colour, ethnic origin or religion In general, becoming a victim of any type of crime 11a. Of the following, who do you think contributes significantly to improving the safety of living in this area? Please tick as many a

19、s apply b. And who do you think makes the prime contribution to improving the safety of living in this area? Please tick one box only 11a Tick as Many as apply 11b Tick one only Local residents Neighbourhood Watch The Police (Police Beat Officer) The Police (Community Suppo

20、rt Officer) The Borough Council (Community Warden) The County Council (ACSO) The Fire Service The Health Service Housing Associations Other (Please specify) 12a. In order for patrols in this area to be most effective in tackling crime (e.g. burglary, assault), wh

21、ich of the following do you feel it is most important for them to have? Tick as many as apply 12b. In order for patrols in this area to be most effective tin tackling anti social behaviour (e.g. groups on the streets, vandalism, noise), which of the following do you think it is most important fo

22、r them to have? Tick as many as apply 12c. And which two do you think it is most important to have? Please tick two only 12a Tick as many as apply 12b Tick as many as apply 12c Tick two only Knowledge and understanding of the local area The skills to support vulnerable people,

23、particularly the elderly Observational skills so crime and anti-social behaviour can be reported The skills to work with and engage with young people Ability to support the work of police officers in a range of duties Powers to issue fixed penalty notices in relation to a

24、 range of anti-social behaviours Powers to detain a suspect until the police arrive Capacity to set up community groups and activities A visible presence on the streets Skills to help support victims of crime Talks to local schools/community groups Other (Sp

25、ecify) 13. To what extent do you agree or disagree that your local neighbourhood is a place where people from different backgrounds get on well together? Please tick one box only Definitely agree Tend to agree Tend to disagree Definitely disagree Don’t know Too few people

26、in local area All the same background 14. To what extent do you agree or disagree that the following groups in your local neighbourhood are able to get the services and support they need? Please tick one box per row Definitely agree Tend to agree Tend to disagree Definitely disagree

27、 Don’t know /not sure Children up to 11 years old Young people between 11 and 18 Older people Black/Minority Ethnic groups People who are less well off People with disabilities Gay/lesbians/bi-sexual/ transexual People of

28、 different religions 15. To what extent do you agree or disagree with each of the following? Please tick one box per row Definitely agree Tend to agree Tend to disagree Definitely disagree Don’t know/not sure People in this neighbourhood pull together to improve the neighbour

29、hood People in this neighbourhood are willing to help their neighbours This is a close knit neighbourhood 16. Thinking about your local community facilities (e.g. village hall, community centre), how satisfied are you with each of the following? Please tick one box

30、 per row Very satisfied Fairly satisfied Neither Fairly dissatisfied Very dissatisfied Don’t know Not applicable The building itself Access to the facility The programme of activities that take place there Information about what goes on there

31、 The role it plays as a focus for the community 17. In the last twelve months have you given unpaid help to any groups, clubs or organisations in any of the following ways? Please tick as many as apply Raising or handling money/taking part in sponsored events L

32、eading the group/member of a committee Organising or helping to run an activity or event Visiting people Befriending or mentoring people Giving advice/information/counselling Secretarial, admin or clerical work Providing transport/driving Representing Campaigning Other pra

33、ctical help (helping out at school, shopping) Any other help 18. To what extent do you agree or disagree that you can influence decisions affecting your local neighbourhood (within 15 to 20 minutes walking distance)? Please tick one box only Definitely agree Tend to agree Tend to d

34、isagree Definitely disagree 19. If you want to change something in your local neighbourhood or have an idea about making the area a better place to live in, what are you most likely to do about it? Please tick one box only Take direct action Talk about it amongst local friends and deci

35、de what to do Approach community/resident organisations/groups about it Approach a local representative for example a borough or parish councillor Other (please write in below) 20. In the last twelve months have you………? Please tick as many as apply Been a local councillor (for

36、the local authority, town or parish) Member of parish planning group Member of a group making decisions on local health services (e.g. patient forums) Member of a decision making group set up to regenerate the area (e.g. local residents group) Member of a decision making group set up to

37、tackle local crime problems (e.g. Neighbourhood Watch) Member of a tenants group decision making committee Member of a group making decisions on local education services (e.g. school governor) Member of a group making decisions on local services for young people (e.g. youth club or church)

38、 Member of another group making decisions on services in the local community (Please write in below) 21. And in the last twelve months have you taken part in a consultation about local services or problems in your area in any of the following ways? Please tick as many as apply Completi

39、ng a questionnaire (about local services and problems in the local area) – please do not include this questionnaire Attending a public meeting (about local services or problems in the local area) Being involved in a group set up to discuss local services or problems in the local area None

40、 of the above 22. How well informed do you feel about each of the following? Please tick one box per row Very well informed Fairly well informed Not very well informed Not well informed at all Don’t know How and where to register to vote How you can get involved in local de

41、cision making What the council and police are doing to tackle anti-social behaviour in the area What the council and police are doing to tackle crime in the neighbourhood What is going on in local community facilities in your local neighbourhood Other thin

42、gs going on in your local neighbourhood What is going on in the borough as a whole Overall, how well informed do you think you council keeps residents about the services and benefits it provides 23. Are you male or female? Please tick one box only Male Femal

43、e 24. What was your age on your last birthday? Please write in below 25. How long have your household been living in their current accommodation? Please tick one box only Under 1 year 11-20 years 1-2 years 21+ years 3-5 years Don’t know/can’t remember 6-10 year

44、s 26. How long have you/your household been living in this area? Under 1 year 11-20 years 1-2 years 21+ years 3-5 years Don’t know/can’t remember 6-10 years 27. In which of these ways does your household occupy your current accommodation? Owned outright R

45、ent from Housing Association/Trust Buying on mortgage Rented from private landlord Rent from council Other (tick and write in below) 28. Which of the following do you regard as your local neighbourhood? Please tick one box only The whole of the borough of Basingstoke and Deane

46、 The whole town or village The whole parish or ward Your local housing estate or neighbourhood Your street Don’t know/not sure 29. How many adults aged 18 or over are living here? Please tick one box only One Four Two Five Three More than five (Tick and

47、write in number below) 30. Which of these activities best describes what you are doing at present? Please tick one box only Employee in full-time job (30 hours plus per week) Employee in part-time job (under 30 hours per week) Self employed full or part-time On a government suppor

48、ted training scheme (e.g. Modern Apprenticeship/Training for Work) Full-time education at school, college or university Unemployed and available for work Permanently sick/disabled Wholly retired from work Looking after the home Doing something else (Tick and write in below)

49、31. Do you have any long-standing illness, disability or infirmity? (Long standing illness means anything that has troubled you over a period of time or that is likely to affect you over a period of time) Please tick one box only Yes (Please continue to Q30) No (Please go to Q31) 32. Does

50、 this illness or disability limit your activities in any way? Please tick one box only Yes No 33. To which of these groups do you consider you belong? Please tick one only White Black or Black British British Caribbean Irish African Any other White background Any o

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