Questionnaire

We appreciate your support of Isabel Hospice and would like to keep you informed about the Hospice, its progress and future activities. To help us to do this more effectively we would appreciate it is you would complete this short questionnaire.

All information will be treated in the strictest confidence under the Data Protection Act and will not be disclosed to any third party

Thank you for taking time to fill in this questionnaire, it wll take 3-4 minutes to complete.

	YOUR SUPPORT
	Q1. How long have you been supporting Isabel Hospice?	Less than 1 yr   2-5yrs   6-10yrs   Over 10yrs
	Q2. How did you first hear about Isabel Hospice?	Local radio   Local newspapers   Word of mouth   Local hospital   Relatives/friends been or being cared for by the Hospice   Other (please specify)
	Q3. In what ways do you support the Hospice?	Volunteer Give ad hoc donations Make regular donations (monthly/quarterly/yearly) Friends group Organise fundraising events Take part in sponsored activities Lottery member Leave a gift in your will Other (please specify)
	Q4. What are the main reasons why you have decided to support Isabel Hospice?	Illness of friend/relative Friend or partner is already a supporter Worthy cause Other (please specify)
	Q5. If your circumstances remain as they are now are you planning to continue your support of Isabel Hospice for the foreseeable future?	Yes  No
	ABOUT OUR NEWSLETTER
	It would be helpful if you could give us your opinion on Care News the newsletter of the Isabel Hospice.
	Q6. Have you read/browsed through Care News before?	Yes  No
	If you have not seen Care News please go to Q10.
	Q7. We send out 3 issues of Care News each year. Which of the following is nearest to your use of the publication?
		I read every issue I receive   I read some copies & not others   I rarely read it   I never read it
	If you rarely or never read Care News then please go to Q10.
	Q8. Thinking about the issues you have read in 2005 how would you rate Care News overall?
		Very good   Good   Average   Poor   Very poor
	Q9. Do you think 3 issues published a year is…	about right   too many   too few
	OUR WEBSITE
	We would welcome your views on our website.
	Q10. Is this the first time you have accessed our website?	Yes  No
	Q11. Did you find it easy to access?	Yes  No
	Q12. Did you find it easy to use?	Yes  No
	Q13. How would you rate the site overall?	Very good   Good   Average   Poor   Very poor
	ABOUT YOU
	Finally it would be helpful if you could tell us a little about yourself by completing the following questions. Please choose the relevant answer below.
	Q14. Are you...	Female  Male
	Q15. Which local newspapers do you read?	Hertfordshire Mercury   Welwyn Hatfield Times   Herts & Essex Observer   Herts Advertiser   Bishop's Stortford Citizen   Royston Crow   Other (please specify)   None - don't read local newspapers
	Q16. Which local radio stations do you listen to?	BBC Three Counties Radio   Chiltern Radio   Hertbeat FM   BBC Radio Essex   Other (please specify)   None - don't listen to local radio
	Q17. How old are you?	Under 16 yrs   17-25yrs   26-40yrs   41-50yrs   51-60yrs   61-70yrs   Over 70yrs
	Q18. Are you...	Employed?   Self-employed?   At school?   At college or university?   Retired?   Unemployed or looking for work?
	Q19. Which way would you prefer Isabel Hospice to communicate with you?	Via email   Via post   Via fax   Other (please specify)
	Full name
	Address
	Full Postcode
	Telephone number
	Email address
	Thank you for taking time to complete this questionnaire

	YOUR SUPPORT
	Q1. How long have you been supporting Isabel Hospice?	Less than 1 yr   2-5yrs   6-10yrs   Over 10yrs
	Q2. How did you first hear about Isabel Hospice?	Local radio   Local newspapers   Word of mouth   Local hospital   Relatives/friends been or being cared for by the Hospice   Other (please specify)
	Q3. In what ways do you support the Hospice?	Volunteer Give ad hoc donations Make regular donations (monthly/quarterly/yearly) Friends group Organise fundraising events Take part in sponsored activities Lottery member Leave a gift in your will Other (please specify)
	Q4. What are the main reasons why you have decided to support Isabel Hospice?	Illness of friend/relative Friend or partner is already a supporter Worthy cause Other (please specify)
	Q5. If your circumstances remain as they are now are you planning to continue your support of Isabel Hospice for the foreseeable future?	Yes  No
	ABOUT OUR NEWSLETTER
	It would be helpful if you could give us your opinion on Care News the newsletter of the Isabel Hospice.
	Q6. Have you read/browsed through Care News before?	Yes  No
	If you have not seen Care News please go to Q10.
	Q7. We send out 3 issues of Care News each year. Which of the following is nearest to your use of the publication?
		I read every issue I receive   I read some copies & not others   I rarely read it   I never read it
	If you rarely or never read Care News then please go to Q10.
	Q8. Thinking about the issues you have read in 2005 how would you rate Care News overall?
		Very good   Good   Average   Poor   Very poor
	Q9. Do you think 3 issues published a year is…	about right   too many   too few
	OUR WEBSITE
	We would welcome your views on our website.
	Q10. Is this the first time you have accessed our website?	Yes  No
	Q11. Did you find it easy to access?	Yes  No
	Q12. Did you find it easy to use?	Yes  No
	Q13. How would you rate the site overall?	Very good   Good   Average   Poor   Very poor
	ABOUT YOU
	Finally it would be helpful if you could tell us a little about yourself by completing the following questions. Please choose the relevant answer below.
	Q14. Are you...	Female  Male
	Q15. Which local newspapers do you read?	Hertfordshire Mercury   Welwyn Hatfield Times   Herts & Essex Observer   Herts Advertiser   Bishop's Stortford Citizen   Royston Crow   Other (please specify)   None - don't read local newspapers
	Q16. Which local radio stations do you listen to?	BBC Three Counties Radio   Chiltern Radio   Hertbeat FM   BBC Radio Essex   Other (please specify)   None - don't listen to local radio
	Q17. How old are you?	Under 16 yrs   17-25yrs   26-40yrs   41-50yrs   51-60yrs   61-70yrs   Over 70yrs
	Q18. Are you...	Employed?   Self-employed?   At school?   At college or university?   Retired?   Unemployed or looking for work?
	Q19. Which way would you prefer Isabel Hospice to communicate with you?	Via email   Via post   Via fax   Other (please specify)
	Full name
	Address
	Full Postcode
	Telephone number
	Email address
	Thank you for taking time to complete this questionnaire