YOUR VIEWS OF THE CAERPHILLY COUNTY BOROUGH VIEWPOINT PANEL BEING PART OF THE CAERPHILLY VIEWPOINT PANEL 1. Please tell us why you chose to join the Viewpoint Panel (VPP): I am generally interested in local matters I wanted to influence change locally I wanted to find out more about what the Council does Other - please write in: 2. How strongly do you agree or disagree with the following statements about being a member of the Viewpoint Panel? Agree Agree Disagree Disagree Don’t strongly strongly know Taking part in the VPP is interesting I am committed to the VPP The VPP has given me an opportunity to influence decisions made about council services The VPP is a waste of resources The VPP has given me an opportunity to influence decisions made about services provided by partner organisations e.g. local health board, police Things don’t change as a result of the VPP I am kept informed about the results of surveys and meetings that I attend I am kept informed about how these results have an effect on decisions made The VPP is a waste of time Overall, I enjoy being a member of the VPP 3. How long do you think people should stay on the Viewpoint Panel? 1 year 2-3 years 4-5 years More than 5 years QUESTIONNAIRE SURVEYS 4. What is the maximum number of questionnaires you would be happy to complete within one year? 1-2 3-4 5-6 More than 6 5. How strongly do you agree or disagree with the following statements about the Viewpoint Panel questionnaires that you are sent? Agree Agree Disagree Disagree Don’t strongly strongly know The questionnaires are easy to fill in The questionnaires are too long I only complete the questionnaire if I’m interested in the topic I receive too many questionnaires in a year The time allowed to respond (2 weeks) is too short The questionnaires are too complicated More background information would help me complete the questionnaires Overall, I enjoy filling in questionnaires VIEWPOINT PANEL MEETINGS 6. What is the maximum number of meetings you would be happy to attend within one year? None 1-2 3-4 5-6 More than 6 7. If you haven’t attended meetings in the past, why not? Lack of transport Childcare Caring for another person Lack of time Lack of confidence Time of meetings Long-standing illness or disability Not interested Other reason Please write in: 8. What, if anything, would encourage you to attend (more) Viewpoint Panel meetings? Invites are sent well in advance Consultations are targeted to your interests More background information is provided in advance Meetings are held in the day Meetings are held in the evening If meetings are held closer to where you live Transport is provided The venues are accessible Provision is made for my specific requirements Please give details: e.g. dietary, disability, language Something else - please write in WHAT YOU ARE MOST INTERESTED IN BEING CONSULTED ON The Panel is consulted on a wide range of issues and we want to know if we are consulting on things that really concern or interest you so that we can target our consultations to suit you. 9. Listed below are the key priorities/areas within the Council. Please tick the areas that are of most interest/concern to you: Please consult with me on ALL areas Environment and planning Advice and benefits Health and social care Business Housing Community and living Jobs and careers Council and democracy Leisure and tourism Education and learning Travel and transport 10. Are there any other issues that you would like to be consulted on in the future? Please write in: ABOUT YOU The following questions will help us to make sure that the Viewpoint Panel represents all residents in the Caerphilly County Borough area. 11. Are you: Male Female 12. In which year were you born? Please write in 13. To what level, if at all, do you speak Welsh? Do not speak Welsh at all Speak Welsh fluently Can converse in Welsh 14. Which of the following, if any, does your household have? Please tick all that apply. Yes No Personal Computer (PC) at home Access to the Internet at home 15. Which of these activities best describes your current employment position? Please tick one box only (Please only tick ‘looking after the home’ if this is your main activity and none of the other options apply) Employee in full-time job (30 hours plus) Permanently sick/disabled Employee in part-time job (under 30 hours) Wholly retired from work Self-employed full or part-time Looking after the home On a government supported training programme Full-time education (e.g. Modern Apprenticeship, New Deal etc) Unemployed & available for work Doing something else - please write in: 16. What is/was your occupation? Please write in 17. Do you have a long standing illness, disability or infirmity? (Long standing means anything that has troubled you over a period of time or that is likely to affect you over a period of time.) Yes No 18. Does this illness or disability limit your activity in any way? Yes No 19. Which of the following best describes your ethnic origin? White British Welsh English Scottish Other Please write in: Irish Any other white background Please write in: Mixed, Mixed British (English, Scottish, Welsh) White and Black Caribbean White and Black African White and Asian Any other mixed background Please write in: Asian, Asian British (English, Scottish, Welsh) Indian Pakistani Bangladeshi Any other Asian background Please write in: Black, Black British (English, Scottish, Welsh) Caribbean African Any other black background Please write in: Chinese, Chinese British (English, Scottish, Welsh) Chinese Please write in: Other Ethnic Group Please write in: 20. Which of the following best describes your household? Single person Single parent, with dependent children Adult couple Adult couple, with dependent children Group of adults, either related or unrelated, without children Group of adults with dependent children Other Please write in: 21. Which of the following best fits your current housing circumstances? Renting from Council Owned outright Renting from Housing Association Owned with mortgage Renting privately Tied housing Shared Ownership (Part owned/rented) Other, please write in KEEPING IN TOUCH WITH YOU 22. Please provide us with your correct contact details below: Title: Name: Address: Telephone: E-mail: 23. In the future, how would you prefer to receive questionnaires? A paper copy by post Via e-mail 24. How would you most like us to let you know about the results from the surveys and meetings that you take part in? Receiving a short report through the post Via ‘Newsline’ On the Caerphilly CBC Web site Via a VPP newsletter I’m not interested in hearing the results Other Please write in: 25. Would you like to receive future correspondence in English, Welsh or in both languages? English Welsh In both English and Welsh Thank you very much for your involvement as a member of the Caerphilly County Borough Viewpoint Panel. All personal information will be treated confidentially.
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