Delves Lane Community Consultation
Circle Crew for Change is a company run by young people, for young people, based in Delves
Lane. The company aims to improve the lives of young people by developing and delivering
services in the local area. Everything we do is for the benefit of the local community, so it's
important that local people have a say in how the company develops. This consultation is a
way of capturing your views on issues that you feel are important. So if you live in the Delves
Lane/Crookhall area, we would like to hear from you.
All individual responses will be kept confidential and no one will be able to be identified from
the information we produce. Your opinions will help us to identify the needs of local people
and help us find out what local people want to see in their community. By capturing your
views, we can determine what programmes we need to develop over the coming years and
use the information to improve opportunities and services in the Delves Lane community.
If you could spare 10 minutes of your time, please complete the questionnaire below.
All completed questionnaires can be entered into a prize draw to win a £50 or £25 gift
voucher. If you would like entering into the competition, please complete and return the form
on the back page.
If you need any help to complete this questionnaire or have any questions, please contact
Emma Golightly, project development worker at emma.golightly@circlecrewforchange.com or
on 07835446202
Please complete all the questions that apply to you
YOU AND YOUR HOUSEHOLD
1. What is your age?
2. Gender…....
Male
Female
3. Do you consider yourself to have a disability?
Yes
No
HEALTH & WELLBEING
4. In general, would you say your health is ………
Very good
Good
Fair
Bad
Very bad
5. Are your day to day activities limited because of a long standing illness or disability
(Longstanding is anything that has, or is likely to trouble you over a period of 12 months or
more)?
Yes
No
6. Do you smoke?
Yes, every
day
Yes,
occasionally
No, but I
used to
No, I’ve
never smoked
7. How often do you have a drink containing alcohol?
Never
Monthly
or less
2 – 4 times
per month
2 -3 times
per week
4+ times
per week
8. On a typical day when you are drinking, how many units of alcohol do you drink (leave
blank if not relevant)?
(A standard glass of wine (175ml) = 2.1 units, a pint of beer = 2.3 units, a single measure of
spirit = 1 unit, a bottle of alcopop = 1.5 units)
1–2
3–4
5–6
7–8
9+
9. How many portions of fruit and vegetables do you eat on an average day (not including
potatoes)?
(1 portion = a medium sized fruit such as an apple or pear, two pieces of smaller fruit such
as plums or satsumas, a slice of a large fruit such as melon or pineapple, a heaped
tablespoon of dried fruit, three heaped tablespoons of cooked vegetables, one medium
tomato or seven cherry tomatoes, three heaped tablespoons of beans or chickpeas and
150ml glass of unsweetened fruit or vegetable juice)
1–2
None
3–4
5 or more
10. If you don’t eat 5 or more portions of fruit and veg a day, what is the reason you don’t
increase your intake (select all that apply)?
Don’t like fruit/veg
Quality of produce locally
Choice
None available locally
Not sure how to prepare or cook
Time to prepare
Other (please specify)
Cost
11. How often do you exercise in an average week?
(exercise refers to continuous moderate activity that increases your heart rate and leaves
you slightly out of breathe)
Never
1 – 2 times
3 – 4 times
5 – 6 times
Daily
12. If you don’t exercise, what stops you from increasing your activity levels (select all that
apply)?
Time
Cost
Lack of classes/groups
locally
Illness/poor health
Other (please
specify)
Don’t like exercising
13. What do you think are the main health issues in the Delves Lane community (select all that
apply)?
Smoking
Alcohol misuse
Obesity
Drug use
Poor mental health
Sexual health
Poor diet
Teenage Pregnancy
Other (please specify
below)
14. Do you think there is a need for any of the following in your local community (select all that
apply)?
Sport and exercise classes for young people
Cookery classes
Sport and exercise classes for older adults
Counselling services
Counselling services for young people
Smoking cessation
Sexual health services for young people
Health checks
Support services for young people
Other health services
(please specify below)
LOCAL PEOPLE
15. What do you think are the main issues affecting people in the local area?
16. What do you think are the main issues affecting young people in the local area?
THE LOCAL AREA
17. In general, how happy are you with the local area?
Very happy
Quite happy
Not very happy
Not happy at all
18. Are any of the following a problem in your area (select all that apply)?
Car parking
Speeding traffic
Noise from traffic
Litter
Dog fouling
Poor lighting
Vandalism
Drunk/rowdy behavior
Burglaries
Assaults
Other crime
Youth nuisance
Drug taking/dealing
Racial or other harassment
Noisy neighbours
Unemployment
19. What improvements would you like to see in your local area, to make your neighbourhood
a better place to live?
LOCAL ACTIVITIES
20. Do you attend any groups, or take part in any organised activities in the Delves Lane area?
Yes
No
If yes, please provide details below
21. Do you think there are enough activities delivered in the Delves Lane area?
Yes
No
22. Do you think there are enough activities for young people in the Delves Lane area?
Yes
No
23. Do you travel outside of the Delves Lane area to take part in activities?
Yes
No
If yes, please state which activities
24. If you answered yes to Qu 23, please tell us which areas you travel to (leave blank if not
relevant).
Consett
Other, please specify
Stanley
Durham
Newcastle
25. What services and activities would you like to see delivered in the local area (select all that
apply)?
Arts and crafts
Please specify if there is anything in particular, that you would be interested in
Photography
Painting & drawing
Cookery
Cake decorating
Flower arranging
Pottery & ceramics
Music lessons
Knitting
Jewellery making
Creative writing
Drama
Other, please specify
Sports & leisure
Please specify if there is anything in particular that you would be interested in
Football
Rugby
Tennis
Aerobics
Pilates
Yoga
Salsa dancing
Gentle exercise (over 50s)
Street dance
Netball
Self defense
Organised walks
Other, please specify
Education classes
Please specify if there is anything in particular that you would be interested in
I.T
English
Maths
Languages
Prince’s Trust
Duke of Edinburgh award
Sign language
Counselling
Childcare
Other, please specify
Skills training
Please specify if there is anything in particular that you would be interested in
Food Hygiene
Careers Advice
First aid
Driving theory
Confidence building
Health & safety
Employability (CV writing, Interview skills etc
Other, please specify
Social clubs/groups
Please specify if there is anything in particular that you would be interested in
Lunch clubs
Local history
Bingo
Ladies social club
Mens social club
Over 60s social club
Coffee morning
Computer gaming
Scouts/Brownies/Guides
Other, please specify
Baby & Toddler
Please specify if there is anything in particular that you would be interested in
Baby group
Parent & toddler
Baby massage
Dad’s group
Breastfeeding support
Messy Play
Other, please specify
Youth work
Please specify if there is anything in particular that you would be interested in
Detached work
Centre based sessions
One to one support
Residentials
Other, please specify
Are there any other groups or activities, not listed above, that you would like to see in the
local area?
26. For any of the activities that you have selected above, are there any that you would like to
be age specific eg. organised walks for the over 50s or a young persons football group?
Please specify below.
27. When would you like to see activities delivered (select all that apply)?
Mornings
Afternoons
Evenings
Weekends
28. Where would you like the activities to take place (select all that apply)?
Village hall
Church hall
Other, please specify
Park and surrounding land
Multi use games area (MUGA)
Community bar
Crookhall community centre
29. How much would you be happy to pay for an activity?
Free
£0 – 2.00
£3 – 5.00
over £5.00
OPPORTUNITIES TO GET INVOLVED
30. If you are 25 years or younger, are you a member of Circle Crew for Change?
Yes
No
31. Would you be interested in volunteering opportunities, either with Circle Crew for Change
or at the Village Hall? Opportunities include, youth work, administration/office work,
fundraising, events planning and marketing/publicity.
Yes
No
If you are interested in either joining Circle Crew for Change, or volunteering, please
contact Emma Golightly at emma.golightly@circlecrewforchange.com or on 07835446202
or complete the attached form and return to Delves Lane Village Hall.
THANK YOU FOR YOUR HELP
The consultation ends on Sunday 19th April 2015. Please return your completed
questionnaires by this date to Emma Golightly, Delves Lane Village Hall, Delves Lane,
Consett, County Durham, DH8 7BH.
Results will be published on our website – www.circlecrewforchange.com
Please complete the form on the next page if you would like to be entered into the prize
draw.
I am interested in becoming a member of Circle Crew for Change (under 25s only)
I am interested in volunteering opportunities in youth work/marketing & publicity/administration & office
work/fundraising/events planning (please circle as appropriate)
I would like to be entered into the prize draw
Name:…………………………………………………………………………………………..
Address:………………………………………………………………………………………..
…………………………………………………………………………………………………..
Contact number:………………………………………………………………………………
Email:……………………………………………………………………………………………