Citizens Audit Questionnaire

Citizens Audit Questionnaire

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Edited By..“The Old Laundry”FINAL 24/8/0036 Berrymede Road SAMPLE/RESPONDENT NO.Chiswick (11-15)London W4 5JD CITIZENS AUDIT – STAGE 1Tel: 020 8994-9192 FC:105898/00 PLEASE WRITE ALL DETAILS IN BLOCK CAPITALSNAME: Mr/Mrs/Ms/Miss __________________________________________________________________________________ADDRESS: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________(16 – 22)POSTCODE: TELEPHONE NO. _____________________________________(AT LEAST 4 DIGITS NEEDED FOR ANALYSIS) (INCLUDE DIALLING CODE)INTERVIEWERS DECLARATIONI DECLARE THIS QUESTIONNAIRE WAS COMPLETED AND CHECKED BY ME, WITHIN THE CODE OF CONDUCT OF THE MARKET RESEARCH SOCIETYAND THE JOB INSTRUCTIONS. THE INFORMANT WAS UNKNOWN TO ME AT THE TIME OF THIS INTERVIEW.INTERVIEWER SIGNATURE: _________________________________________ DATE: ________________________INTERVIEWER NAME (PLEASE PRINT) ____________________________________ INT. No. (23 – 28)TIME INTERVIEW BEGAN _____________AM/PM TIME INTERVIEW ENDED ______________AM/PMOFFICE USE ONLYRESPONDENTS.O.C / / (29 - 34)PARTNERS.O.C / / (35 – 40)INTERVIEWER NOTE - CONFIDENTIALITYWHEN ...

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The Old Laundry 36 Berrymede Road Chiswick London W4 5JD Tel: 020 8994-9192
EditedBy.. SAMPLE/RESPONDENTNO. (11-15) CITIZENS AUDIT  STAGE 1 FC:105898/00
PLEASEWRITEALLDETAILSINBLOCKCAPLATIS
__________________________________________________________________________________ NAME: Mr/Mrs/Ms/Miss _________________________________________________________________________________________ ADDRESS: _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ (16  22) _____________________________________ POSTCODE: TELEPHONE NO. (AT LEAST 4 DIGITS NEEDED FOR ANALYSIS) (INCLUDE DIALLING CODE)
INTERVIEWERS DECLARATION I DECLARETHISQUESTIONNAIREWASCOMPLETEDANDCHECKEDBYME, WITHINTHECODEOFCONDUCTOFTHEMARKETRESEARCHSOCIETY ANDTHEJOBINSTRUCTIONS. THEINFORMANTWASUNKNOWNTOMEATTHETIMEOFTHISINTERVIEW.
INTERVIEWER SIGNATURE: DATE: _________________________________________ ________________________ INTERVIEWER NAME (PLEASE PRINT No. INT.) ____(23  28) ________________________________ TIME INTERVIEW BEGAN AM/PM TIME INTERVIEW ENDED AM/PM _____________ ______________
RESPONDENT S.O.C/
PARTNER S.O.C/
OFFICEUSEONLY (29 - 34)
(35  40)
INTERVIEWERNOTE- CONFIDENTIALITY WHEN INTRODUCING YOURSELF AND THIS SURVEY,PLEASE ENSURE THE RESPONDENT KNOWS THAT THIS RESEARCH AND ANY INFORMATION THEY GIVE ARE,AND WILL REMAIN,STRICTLY CONFIDENTIAL
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SHOWCARD 1) How long have you lived at this address? (41) Under 1 year 1 From 1 year and under 5 years 2 From 5 years and under 10 years 3 From 10 or more years 4 2) Do you have family who live nearby? (42) Yes 1 No 2 ATTACHMENTTOPLACE SHOWCARD 3) I would now like to ask you some questions about your feelings of attachment to the place where you live. How strong are your feelings of attachment to your neighbourhood, town, region, country and Europe? Some people feel a very strong attachment. They would give themselves a score of ten. Other people feel no attachment. They would give themselves a score of zero. Others feel somewhere in between. (If you have no preference either way give a score somewhere in between) Please give a number which comes closest to your views about your attachment to each of the places referred to below. NO ATTACHMENTVERY STRONGDON T AT ALL ATTACHMENTKNOW 0 1 2 3 4 5 6 7 8 9 10 Your neighbourhood or village 0 1 2 3 4 5 6 7 8 9 X V(43) Your municipality or town 0 1 2 3 4 5 6 7 8 9 X V(44) Your region 0 1 2 3 4 5 6 7 8 9 X V(45) Your Country 0 1 2 3 4 5 6 7 8 9 X V(46) The European Union 0 1 2 3 4 5 6 7 8 9 X V(47) (The Common Market) SHOWCARD 4) Do you think of yourself first and foremost as (please Code ONE only) (48) English 1 Scottish 2 Welsh 3 Irish 4 British 5 European 6 Other (Write In)  7 Dont know 8 TRUST I would now like to ask you some questions about your views of other people. SHOWCARD 5a) Thinking for a moment about whether people with whom you have contact can be trusted. Please use the 0-10 scale where 10 means definitely can be trusted and 0 means definitely cannot be trusted. MOST PEOPLEMOST PEOPLEDON T CANNOT BE TRUSTED CAN BE TRUSTEDKNOW 0 1 2 3 4 5 6 7 8 9 10 CODEHEREÆ V0 1 2 3 4 5 6 7 8 9 X(49) 2
1
2
3
4
5
6
7
8
9
X
DON T KNOW V(52) V(53)
V(54)
SHOWCARD 5b) Would you say that most of the time people you come into contact with try to be helpful or that they are mostly looking out for themselves? LOOKING OUTTRY TODON T FOR THEMSELVES BE HELPFULKNOW 0 1 2 3 4 5 6 7 8 9 10 CODEHEREÆ V0 1 2 3 4 5 6 7 8 9 X(50) SHOWCARD 5c) Do you think that most people you come into contact with would try to take advantage of you if they got the chance or would they try to be fair? TRY TO TAKETRY TODON T ADVANTAGE BE FAIRKNOW 0 1 2 3 4 5 6 7 8 9 10 CODEHEREÆ V0 1 2 3 4 5 6 7 8 9 X(51) SHOWCARD 5d) And now your views on various institutions. Do you trust: DO NOTTRUST TRUST AT ALL COMPLETELY 0 1 2 3 4 5 6 7 8 9 10 9 ˆ 2 3 4 5 6 7 8 9 X 0 1The Government House of Commons 0 1 2 3 4 5 6 7 8 9 X Scottish Parliament (Ask Scotland Only) 0 Welsh Assembly (Ask Wales Only) 0 Conservative Party 0 Labour Party 0 Liberal Democrat Party 0 Scottish Nationalist Prty 0 (Ask Scotland Only) Plaid Cymru 0 (Ask Wales Only) The Courts 0 1 2 3 4 5 6 7 The Civil Service 0 1 2 3 4 5 6 7 (IN OTHER WORDS,DEPARTMENTS SUCH ASINLANDREVENUE ORHEALTH ANDSOCIALSECURITY) Politicians 0 1 2 3 4 5 6 7 The Police 0 1 2 3 4 5 6 7 Local Government 0 1 2 3 4 5 6 7 The European Union 0 1 2 3 4 5 6 7 (The Common Market) 9 ˆThe Banks 0 1 2 3 4 5 6 7
1 1 1 1 1
1
2 2 2 2 2
2
3 3 3 3 3
3
4 4 4 4 4
4
3
5 5 5 5 5
5
6 6 6 6 6
6
7 7 7 7 7
7
8 8 8 8 8
8
8 8 8 8 8 8
8
9 9 9 9 9
9
9 9 9 9 9 9
9
X X X X X
X
X X X X X X
X
V(55) V(56) V(57) V(58) V(59)
V(60)
V(61) V(62) V(63) V(64) V(65) V(66)
V(67)
ORGANISATIONALACTIVITY SHOWCARD 6a) I will read you a list of different types of organisations. In the last 12 months, have you been a member of this type of organisation (in other words you have paid a membership fee if it is required), have you participated in an activity arranged by this type of organisation, have you donated money as an individual to this type of organisation, or have you done voluntary or unpaid work for this type of organisation? If none of these apply to you, please say so. MEMBERCARRIED OUTNONE (PAID SUBSCRIPTIOND OF ORONATED VOLUNTARY THESE 9IF REQUIRED) PARTICIPATED MONEY UNPAID WORK APPLY ˆ 2 3 4 5Youth organisation (e.g. Scouts) 1(68) Environmental organisation (e.g. Greenpeace) 1 2 3 4 5(69) Conservation organisation (e.g. The National Trust) 1 2 3 4 5(70) Organisation for animal rights or protection(e.g. RSPCA) 1 2 3 4 5(71) Peace organisation (e.g. CND) 1 2 3 4 5(72) Humanitarian aid/Human Rights organisation (e.g. Amnesty Internat.) 1 2 3 4 5(73) Social Welfare organisation (e.g. Shelter) 1 2 3 4 5(74) Organisation for medical patients, specific illnesses or addictions (e.g. British Heart Foundation) 1 Organisation for disabled (e.g. Royal National Institute for the Blind) 1 Pensioners or retired persons organisation (e.g.Help The Aged) 1 Ex-Service Clubs (e.g. Royal British Legion) 1 Sports club or outdoor activities club 1 Gymnasium 1 Trade Union (e.g. UNISON) 1 Business or Employers Organisation (e.g. British Chamber of Commerce) 1 Professional Organisation (e.g. British Medical Association) 1 Consumer organisations (e.g. The Consumer Association) 1 Parent and Teachers organisation 1 Cultural/Musical/Dancing/ Theatre organisations 1 Hobby organisation (e.g. Stamp Collecting Group) 1 Motoring Association (e.g.AA) 1 Residents/Housing or Neighbourhood organisations (e.g. Nbourhood Watch) 1 Ethnic organisation (e.g. Black Resource Centre) 1 Religious or Church organisation 1 Womens organisation (e.g. Womens Institute) 1 Social Club (e.g.Working Mens Clubs) 1 9Member of other organisations ˆ 1not listed above
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
4
3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3
4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
(75) (76) (77) (78) (79) (80) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20) (21) (22) (23) (24)
If NOT A MEMBER of any organisation go to question 6e.. SHOWCARD 6b) Thinking about the ONE organisation which is most important to you, how often do you? OFTENSOMETIMESRARELYNEVERDON TKNOW Attend its meetings 1 2 3 4 5(25) Participate in decision making at its meetings 1 2 3 4 5(26) Speak at its meetings 1 2 3 4 5(27) Plan or chair its meetings 1 2 3 4 5(28) Write a report about its meetings 1 2 3 4 5(29) SHOWCARD 6c) Again, thinking about the ONE organisation which is most important to you, how often do you do any of the following with other members of the organisation? OFTENSOMETIMESRARELYNEVERDON TKNOW Talk about the organisations problems or goals 1 2 3 4 5(30) Call upon fellow members for practical help or assistance 1 2 3 4 5(31) Disagree with other members about the organisations problems or goals 1 2 3 4 5(32) Meet each other socially 1 2 3 4 5(33) SHOWCARD 6d) Thinking about the ONE organisation which is most important to you. Would you call yourself very strong, fairly strong or not very strongly attached to this organisation? VERYFAIRLYNOT VERYDON T STRONGSTRONGSTRONGKNOW 1 2 3 4(34) 6e) Apart from these organisations we have talked about do you belong to an informal network of friends or acquaintances with whom you have contact on a regular basis (for example, Pub Quiz Team, Book Reading Group, Parent/Toddler group, Child Care group)? YESNODON T KNOW 1 2 3(35) SHOWCARD 6f) Do you actively provide any support beyond your immediate family for ill people, elderly neighbours, acquaintances without doing it through an organisation (for example, shopping for neighbours, visiting old people)?  YES, YES, DON T REGULARLYOCCASIONALLYNOKNOW 1 2 3 4(36) SHOWCARD 6g) During the last month, approximately how much time in total did you spend on activities, in clubs, associations, groups, networks or in supporting other people? (37) None 1 less than 1 hour in a month 2 1 to 4 hours in a month 3 5 to 10 hours in a month 4 11 to 20 hours in a month 5 More than 20 hours in a month 6 Dont know 7 I am now going to talk to you about your attempts to influence rules, laws or policies. 5
SHOWCARD 7ai) During the last 12 months have you doneany of the following to influence rules, laws or policies? 7aii) Andwould you doany of the following to influence rules, laws or policies?  (7ai) (7aii) HAVEDONEWOULDDO YESNOYESNO 1 2 1 2(39) 1 2 1 2(41) 1 2 1 2(43) 1 2 1 2(45) 1 2 1 2(47) 1 2 1 2(49) 1 2 1 2(51) 1 2 1 2(53) 1 2 1 2(55) 1 2 1 2(57) 1 2 1 2(59) 1 2 1 2(61) 1 2 1 2(63) 1 2 1 2(65) 1 2 1 2(67) 1 2 1 2(69) 1 2 1 2(71)
9 ˆContacted a politician(for example, a member of parliament or local councillor) Contacted an organisation (for example Shelter or Help the Aged) Contacted a public official (for example, a person from the housing or social security offices) Contacted the media Contacted a solicitor or judicial body Worn or displayed a campaign badge or sticker Signed a petition Taken part in a public demonstration Taken part in a strike Boycotted certain products Bought certain products for political, ethical or environmental reasons Donated money to an organisation Raised funds for an organisation Attended a political meeting or rally Voted in a local government election Participated in illegal protest activities 9 ˆFormed a group of like minded people
(38) (40) (42) (44) (46) (48) (50) (52) (54) (56) (58) (60) (62) (64) (66) (68) (70)
7b) In the past twelve months have you received any request directed at you personally to do any of these things?YESNODON T KNOW 1 2 3(72) If No go to Q8a SHOWCARD 7c) Thinking about the last occasion this happened, was the person who asked you: (73) Family 1 A close friend 2 A work colleague 3 Someone you didnt know 4 None of these 5 Dont know 6
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7d) Did you respond positively to the request? YESNO 1 2
(74)
LIFESATISFACTION SHOWCARD 8a) Thinking about yourself, how satisfied are you with your life as a whole these days? NEITHER VERY SATISFIED NORVERYDON T SATISFIEDSATISFIED DISSATISFIEDDISSATISFIED DISSATISFIED KNOW 1 2 3 4 5 6(75) SHOWCARD 8b) Thinking about Britain, how satisfied are you with the way democracy works? NEITHER VERY SATISFIED NORVERYDON T SATISFIEDSATISFIED DISSATISFIEDDISSATISFIED DISSATISFIED KNOW 1 2 3 4 5 6(76) (Ask in Scotland and Wales only) SHOWCARD 8c) Thinking about (Scotland) (Wales,) how satisfied are you with the way democracy works? NEITHER V NORERY SATISFIEDVERYDON T SATISFIEDSATISFIED DISSATISFIEDD KNOWISSATISFIED DISSATISFIED 1 2 3 4 5 6(77) *Start card 3 SHOWCARD 9) Are you satisfied or dissatisfied with the delivery of the following services provided by your local authority? NEITHER V NORERY SATISFIEDVERYDON T SATISFIEDSATISFIED DISSATISFIEDDISSATISFIED DISSATISFIED KNOW Schools 1 2 3 4 5 6(11) Care for the elderly 1 2 3 4 5 6(12) Road maintenance 1 2 3 4 5 6(13) Street Cleaning 1 2 3 4 5 6(14) Social Services 1 2 3 4 5 6(15) Parks & sports facilities 1 2 3 4 5 6(16) Libraries 1 2 3 4 5 6(17)
CHILD SEDUCATION 10a) Do you have any children of school age? YESNO 1 2 (If no children of school age go to question 11a)
7
(18)
SHOWCARD10b)Iwillnowaskyousomequestionsaboutthequalityofyourchildrensschooling.Duringthelast12 months to what extent have you felt satisfied or dissatisfied with any of your childrens education at school? NEITHER VERY SATISFIED NORVERYDON T SATISFIEDSATISFIED DISSATISFIEDDISSATISFIED DISSATISFIED KNOW 1 2 3 4 5 6(19)
10c)Duringthelast12monthshaveyoudoneanythingtotryandchangethewayeducationisprovidedatany of your childrens schools? YESNODON T KNOW 1 2 3(20)
(If No go to Q 10g) 10d) Which of the following did you do to change the way education is provided at any of your childrens schools? YESNO I approached a teacher or other member of staff at the school 1 2(21) I approached a politician 1 2(22) I approached the Parents Teachers Association 1 2(23) I approached the School Governors 1 2(24) I approached a local council official 1 2(25) I approached a solicitor 1 2(26) I approached the media 1 2(27) I approached other parents with children in the same school 1 2(28) I approached family, relatives or friends 1 2(29) I approached the Office for Standards in Education (OFSTED) 1 2(30)
10e) Were you successful?
YESNODON T KNOW 1 2 3
(31)
SHOWCARD 10f)Doyouthinkyouweretreatedfairlyinyourattempttochangethewayeducationisprovidedatanyof your childrens schools?NOT TREATEDTREATEDDON T AT ALL FAIRLY VERY FAIRLYKNOW 0 1 2 3 4 5 6 7 8 9 10  0 1 2 3 4 5 6 7 8 9 X V(32) SHOWCARD 10g) More generally with regards to any of your childrens schooling, do you think you are able to: NOTATALLSOMEA GREATDEALDON TKNOW Influence the choice of school? 1 2 3 4(33) Influence the teaching in the school? 1 2 3 4(34) Influence the running of the school? 1 2 3 4(35)
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MEDICALTREATMENT I would now like to ask you some questions about the quality of any medical treatment you or any relative have received over the last 12 months. During the last 12 months have you or a relative 11a) Sought or obtained medical treatment (for example, your general practitioner, dentist or as a hospital patient)?YESNODON T KNOW 1 2 3(36) (If no to question a) move to question 12a) SHOWCARD 11b) During the last 12 months, to what extent have you felt satisfied or dissatisfied with your medical treatment? NEITHER VERY SATISFIED NORVERYDON T SATISFIEDSATISFIED DISSATISFIEDDISSATISFIED DISSATISFIED KNOW 1 2 3 4 5 6(37) 11c) During the last 12 months have you done anything to try and change the way medical treatment was provided? YESNO 1 2(38) (If no, move to question 11g 11d) Which of the following did you do to try to influence the way medical treatment was provided? (Code all those that apply) YESNO I approached the Doctor or Member of staff responsible for the medical treatment 1 2(39) I approached an official in the Health Service or Company which provided treatment 1 2(40) I approached a politician 1 2(41) I approached an association e.g. a patients association 1 2(42) I approached a solicitor 1 2(43) I approached the media 1 2(44) I approached other patients in the same hospital or practice 1 2(45) I approached other family, relatives or friends 1 2(46) 11e) Were you successful?  YESNODON TKNOW 1 2 3(47) SHOWCARD 11f) Do you think you were treated fairly in your attempt to influence the treatment? NOT TREATEDTREATEDDON T AT ALL FAIRLY VERY FARILYKNOW 0 1 2 3 4 5 6 7 8 9 10 CODEHEREÆ0 1 2 3 4 5 6 7 8 9 X V(48) SHOWCARD 11g) Did you or your relative use the National Health Service or Private Health Care? NATIONALDON T HEALTHSERVICEPRIVATEBOTHKNOW 1 2 3 4(49) 9
11h) With regard to the medical treatment that you or your relative received during the last 12 months, did you: YESNODON TKNOW Obtain prompt treatment 1 2 3(50) Influence the medical treatment 1 2 3(51) Obtain adequate medical information about your treatment 1 2 3(52) Choose the doctor you wanted 1 2 3 (53) Obtain a second opinion 1 2 3 (54) Change to the private sector 1 2 3(55) Refuse treatment 1 2 3(56)
(58) 1 2 3 4
THEWORKPLACE 12a) Are you in paid employment? YESNO 1 2(57) If YES answer question 12b, and then continue with question 12d. If NO answer question 12c, and then move to 13a. SHOWCARD 12b) If yes are you? In a full time job A part time job On leave of absence for studies Currently on parental leave of absence SHOWCARD 12c) If no, are you? (59) Temporarily unemployed(less than 6 months) 1 Unemployed for a long period (more than 6 months) 2 On disability pension 3 On early retirement arrangement 4 Retired pensioner 5 Currently a student in further or higher education 6 Currently a pupil in school 7 A houseperson 8 Not employed for other reasons 9 SHOWCARD 12d) During the last 12 months to what extent have you felt satisfied or dissatisfied with your working conditions? NEITHER V NORERY SATISFIEDVERYDON T SATISFIEDSATISFIED DISSATISFIEDDISSATISFIED DISSATISFIED KNOW 1 2 3 4 5 6(60) 12e) During the last 12 months have you done anything to try and improve your working conditions? YESNO 1 2 (61)
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(If no move to question 12i) 12f) If yes, which of the following did you do to try and improve your working conditions? (Code all that apply) YESNO I approached my boss or employer 1 2(62) I approached a politician 1 2(63) I approached a public official 1 2(64) I approached a Trade Union official 1 2(65) I approached a solicitor 1 2(66) I approached the media 1 2(67) I approached other employees in my workplace 1 2(68) I approached family, relatives or friends 1 2(69) I changed work place or department 1 2(70) 12g) Were you successful? YESNODON TKNOW 1 2 3(71) SHOWCARD 12 h) Do you think you were treated fairly in your attempt to try and improve your working conditions? NOT TREATEDTREATEDDON T AT ALL FAIRLY VERY FARILYKNOW 0 1 2 3 4 5 6 7 8 9 10 CODEHEREÆ3 4 5 6 7 8 9 X0 1 2  V(72) SHOWCARD 12i) Here are a few things that people sometimes do as part of their job. As part of your work how often do you: OFTENSOMETIMESRARELYNEVERDON TKNOW Attend a meeting? 1 2 3 4 5(73) Participate in decision making at a meeting? 1 2 3 4 5(74) Speak at a meeting? 1 2 3 4 5(75) Plan or chair a meeting? 1 2 3 4 5(76) Write a report on a meeting? 1 2 3 4 5(77) *Start card 4SHOWCARD 12j) Some people have a lot of contact with their fellow workers or colleagues, and others have only limited contact. How about you? How often do you: OFTENSOMETIMESRARELYNEVERDON TKNOW Talk with your fellow workers about problems at work? 1 2 3 4 5(11) Call upon fellow workers to give practical help or assistance? 1 2 3 4 5(12) Express disagreement about work issues with fellow workers? 1 2 3 4 5(13) 11