DORCHESTER MARKET USER SATISFACTION SURVEY Please read introduction as to why we are doing this survey Q1 Q2 Where have you come from today? (please tick one) From within the town ....................................... From within a nearby village............................ From within the County ................................... From outside the County ................................. How did you arrive at the market? (please tick one) Walk ................................................................ Cycle ............................................................... Car .................................................................. Bus .................................................................. Coach .............................................................. Train ................................................................ Park & Ride ..................................................... Other, please _____________________ Q5 Very Fairly Neither Fairly Very satisfie satisfie satisfie dissati dissati d d d nor sfied sfied dissati sfied Covered Areas Toilets Seating Café / Refreshments How did you first hear about the Dorchester Market? Local Radio ..................................................... Poster .............................................................. Word of mouth ................................................. Newspaper or Magazine ................................. Other, please _____________________ How satisfied were you by the following? Very Fairly Neither Fairly Very satisfie satisfie satisfie dissati dissati d nor sfied d d sfied dissati sfied Car park / Coach park / Train station Variety of goods for sale Prices Layout Walkways and pedestrian access points Were there any facilities that you would like to have seen or could be improved? No.................................................................... Yes, please specify ________________________ ________________________ _________________ Q7 Overall, how satisfied were you with the Dorchester Market? Very satisfied ................................................... Fairly satisfied ................................................. Neither satisfied nor dissatisfied ...................... Fairly dissatisfied ............................................. Very dissatisfied .............................................. specify Q4 Q6 specify Q3 How satisfied were you by the following facilities? Q8 Do you intend to visit the town centre? Yes .................................................................. No.................................................................... Q9 Do you have any other comments? ___________________________________________ ___________________________________________ ___________________________________________ ___________________________________________ ___________________________________________ ___________________________________________ ___________________________________________ ___________________________________________ ___________________________________________ ___________________________________________ _ About Yourself We wish to ensure that all sections of the local community have an equal opportunity of accessing our services. By answering the following questions you will enable us to monitor the current situation. We will take steps to eliminate any inequalities that we become aware of. Q10 Are you...? Male ............................................................... Female ............................................................ Q11 What is your age? Under 18 ......................................................... 18 to 24 ........................................................... 25 to 34 ........................................................... 35 to 54 ........................................................... 55 to 64 ........................................................... Over 60 ........................................................... Q12 How do you identify your ethnic origin? (tick one box only) White - British ...... Any other mixed background .......... White - Irish ......... Asian or Asian British - Indian ...... Any other White background ......... Black or Black British - African .... Black or Black British - Carribean Any other Black background ......... Mixed - White and Black Caribbean .. Mixed - White and Black African ....... Mixed - White and Asian ................... Any other ethnic group, please specify Asian or Asian British - Pakistani . Asian or Asian British Bangladeshi ......... Any other Asian background .......... Chinese ............... Gypsy .................. Traveller of Irish Heritage ............... _____________________ Q13 Do you consider yourself to have a long-term illness, disability or infirmity? The definition of disability in the Disability Discrimination Act 1995 is a “physical or mental impairment having a substantial and long-term effect on a person’s ability to carry out day to day activities”. Yes .................................................................. No.................................................................... Q14 If Yes, please indicate the nature of your disability: Physical Mental Impairment .......... Impairment ........... Mobility Visual Impairment Impairment .......... Hearing A Learning Impairment .......... difficulty ................ Q15 Home Town (optional) ___________________________________________ ____ If you have any questions about this survey please contact……………………………. The results of this survey will be made available by: (date)……………….. via ………………………………… Thank you for very much for completing this survey.
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