FOCUS ON FATHERING WEEK QUESTIONNAIRE
COMPLETE THIS SURVEY AND GO INTO THE DRAW TO WIN A $100 VOUCHER FROM THE MAD BUTCHER
Which event did you attend?
How did you hear about this event?
(please specify
Newspaper
Website/Email
Friends/Family
School/Childcare Centre
Organisation (please enter below which one?)
Other media (please enter below indicate
Poster (please enter below where did you see it?)
Other:
Please rate: Enjoyment of event:
following (1=lowest score 5=highest score):
1
2
3
4
5
Please rate: Usefulness for parenting/caring of children:
following (1=lowest score 5=highest score):
1
2
3
4
5
Please rate: Promotion and information before the event:
following (1=lowest score 5=highest score):
1
2
3
4
5
Please rate: Increased awareness of resources and services to support fathering:
following (1=lowest score 5=highest score):
1
2
3
4
5
Please rate: Specific fathering strategies:
following (1=lowest score 5=highest score):
1
2
3
4
5
Do have any feedback for us?
This might be a comment about the event, something that you particularly enjoyed, something new that you learnt or might use or do in the future.
Are you interested in being part of a focus group about the needs of fathers?
Yes
No
Your age group:
under 20
20-30
30-40
40-50
50-60
60-100
Are you:
Father
Uncle
Grandfather
Friend
Mother
Other:
How old are your children
Pre school
5-12
13-20
Adults
Optional Information
Please note that contact details will not be shared
Name
Phone
Email
Ethnicity
Go into the draw
All completed evaluations will go into one draw for a Mad Butcher voucher of $100 Prize kindly donated by The Mad Butcher, Massey.
Thank You!
PROMOTING GREAT PARENTING PROJECT OF VIOLENCE FREE WAITAKERE, PH: 8374849