Pre-project Questionnaire

Contact Us

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Thank you for completing this questionnaire. Your feedback will help improve the design and delivery of future projects. Please note that this information will only be used for evaluation purposes; we will not be able to identify you from this survey.

Name of project (If you are unsure, please ask your tutor)

1. What is your current employment status? Select the option or options below that best represents your employment status.

If you are currently not in work and not looking for employment, then please select the option below which best describes you.

2. If employed or self employed, how many hours do you normally work per week?

3. What is the highest level of qualification you have gained? Please choose one option below.

3a. If you chose "Other" then please state below:

4. Do you currently get benefits?

4a. If yes, please select all that apply:

Universal Credit

Jobseeker's Allowance

Employment Support Allowance

Housing Benefit/ Rate Relief

Income Support

Other

5. Is this the first Labour Market Partnership project you have taken part in? Please answer yes, no or unsure below.

6. What is your level of agreement with the statements below? Please tick the option you feel best describes your level of agreement.

6a. I am motivated to get into work or to get better work.

6b. I am motivated to get new skills or qualifications.

6c. I feel confident about my future employability chances.

6d. My general confidence levels are good.

6e. I have a good sense of meaning and purpose in life.

6f. I have good awareness of the employment support available.

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Equality

Introduction

We have a responsibility under Section 75 of the Northern Ireland Act 1998, to collect information in order to promote equality of opportunity. We are committed to equality of opportunity and fair treatment in all of our programmes and services. Any information provided by you will only be used for equality purposes. This information is collected to help improve the programmes and services offered by us and to monitor fair participation. All personal data provided will be treated in strict confidence and held in accordance with the provisions of the Data Protection Act. Please answer the questions on the Equality Monitoring Form as fully as possible by selecting the relevant boxes. You are not obliged to answer all the questions on this form, however we would encourage you to do so; all information gathered will be used for the promotion of equality. Completed forms will be anonymous and confidential.

1. How old are you?*

2. What is your sex?

3a. Do you have any physcial or mental health conditions or illnesses lasting or expected to last 12 months or more?

Yes

3b. If "Yes", does your condition(s) or illness(es) reduce your ability to carry out day-to-day acitivities?

Yes, a lot

Yes, a little

No, not at all

4a. Do you have responsibility for the care of a child?

Yes

4b. Do you have responsibility for the care of a person with a disability?

Yes