Pioneer Clubhouse 2010 Survey

This is an anonymous survey. Its purpose is to improve the Pioneer Clubhouse Program.

Gender *required Male Female

Age *required

1. How often do you attend Pioneer Clubhouse? *required 4+ days a week 1-3 days a week A few days a month A few times a year

2. When was the last time you attended the Clubhouse before today? *required This week 2-3 weeks ago 1-2 months ago 3-5 months ago 6+ months ago

3. Is there anything that makes it hard for you to attend Pioneer CLubhouse? *required Yes No

If yes, please let us know why this is?

4. What are the reasons you come to the Clubhouse? *required Get involved in meaningful work Meet people Get out of the house Employment or education support Social Events

Any other

5. Do you feel involved in management and decision making of the Clbhouse? *required Yes No

6. Do you feel that the Clubhouse can improve its meaningful work? *required Yes No

If yes, please let us know how?

7. Do you feel the Clubhouse can improve its social activities? *required Yes No

If yes, please let us know how?

Mandatory field(s) marked with *required


There are no user fields to display.

Pioneer Clubhouse 2010 Survey

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