use this form

advertisement
Your Local Leisure Centre; Have Your Say!
The South Northamptonshire Leisure Trust started to operate in February 2007. The main initial purpose of the Trust was to
operate the contract that embraces Towcester Centre for Leisure, Brackley Leisure Centre and Brackley Swimming Pool but
with a wider brief for sport and leisure in the South Northamptonshire area.
As you can see it’s more than being about swimming pools and gyms and the centres are dedicated to helping to enhance
health and fitness as well as just general enjoyment.
The focus is giving you what you want. We don’t always get it right first time but we persevere to constantly improve things.
With that in mind, we would be delighted if you would take a moment of your time to complete the questionnaire below and
return to either your chosen centre, or drop it in to Towcester Tea Rooms, 169 Watling Street, Towcester; or email to
admintowcester@leisure.serco.com. The closing date for all completed questionnaires is 30 th September 09.
1
Are you aware of the South Northants Leisure Trust?

Yes
1b

No
If Yes, how did you find out about the Trust and Leisure centre’s (Tick all that apply)
Newspaper

Leaflet

From a Friend

External Banner

Website

Inside Centre

Other (Please specify)________________________________________________________________________
2
Do you currently use any Leisure Facilities (i.e. Local leisure centre; Private Health Club; Golf club; Exercise
at home)

Yes
2b

No
If Yes, please specify which leisure facility you use and proceed to the Monitoring Information
_________________________________________________________________________________
2c
If No, please specify what the barriers are for not using the centre (Tick all that apply)
Cost

Availability / Opening times of your local facility

Health / Injury Issue

Lack of spare time

No interest in Health & Fitness

Other (please specify)_______________________________________________________________________
2d
If opening times are a barrier, what time would the facilities at the Centres need to open in order to accommodate
your individual needs? Please suggest
Pool _________________________________
Gym _________________________________
Courts / Indoor Facilities _________________
3
If you were to use a leisure centre, which if any of the following facilities would you be most likely to use?
Swimming Pool

Fitness Suite

Workout Classes

Racquet Sports

5-A-Side

Health Suite

Sunbeds

Crèche

All Weather Pitches

Children’s Courses / Activities / Parties

Other (Please specify)_______________________________________________________________________
4
Are there any other activities or facilities you would like to see offered?
5
If we were able to accommodate you, would you be more inclined to use any centre's within the South Northants
Leisure Trust?
Site name
1
Date
2
5
If we were able to accommodate you, would you be more inclined to use any centre's within the South
Northants Leisure Trust?

Yes
6.

No
What do you think of the sports and leisure facilities in the south Northants area

Good
7.
KO
rooP


Do you have any further suggestions for extra sports and leisure facilities within the South Northants area?
Monitoring Information (optional)
To continually improve our service and ensure it meets your needs, it helps if you can provide us with some further information
about yourself.
Gender
Male

Female

Age Group
Under 18
25-34
50-60



18-24
35-49
60+



Ethnic Origin:
Chinese

Other Asian

Pakistani

Bangladeshi

Indian

Black Caribbean

Black African

Black Other

Mixed Ethnicity 
etihW

Other (Please specify__________________________________
Do you consider yourself to have a disability?

Yes
No

If Yes, please specify ____________________
Employment Status (Full / Part-time / Retired / Full-time parent / Student / Unemployed:_)___________________________
Would you like to take part in any further research or be contacted by SNLT and/or their agent for marketing
purposes?
Your details may be used and disclosed by SNLT and/or their agent so that you can be provided with information about other
goods and/or services offered by SNLT, their agent and/or other organisations, which may be of interest to you, or for market
research. Would you be interested in receiving this information?
Yes


No
If at any time you would like to stop receiving this information you may write to us at any time at Towcester Centre for Leisure,
Springfields, Towcester, NN12 6UW
Respondent’s Name:
Respondent’s Address (including postal code)
Respondent’s Email Address:
Respondent’ Mobile Number
If you have provided us with your email address and would like to receive marketing and/or other information by this method from South
Northamptonshire Leisure Trust, and/or their agent please tick this box 
If you have provided us with your mobile number and would like to receive marketing and/or other information by this method from South
Northamptonshire Leisure Trust, and/or their agent please tick this box 
All completed questionnaire will receive a 7 day guest pass and will be entered into a Free Prize draw to WIN a 3
month membership
Site name
2
Date
Download