Your views will help inform the future provision of facilities in your area and are very important to us. Please spare a few minutes to complete this questionnaire. Any further comments can be made in the additional comments section at the back of the document. There is more background information about proposals for replacement of leisure centres and libraries online at www.manchester.gov.uk/chorltonconsultation

Q1.	Do you agree that we have identified the three main strategic priorities for the replacement of facilities?
		Yes
		No

Q2.	If not, what do you think is missing?

The provision of services in a new facility is determined by a number of factors, which include the budget available, the size of the site, and the variety of uses proposed for the building. To help us make the right decisions we need to know what the priorities of the potential users are.

Q3.	Which library/leisure facility do you use at the moment?
		Chorlton Leisure Centre
		Chorlton Library
		Other
		I don’t use a leisure centre or library

	Please specify:

Q4.	If you use a leisure centre, which activities do you or your family enjoy at the moment? (Tick all that apply.)
		Swimming lessons (including school lessons)
		A swimming club to bring on talented swimmers
		Women-only swimming sessions
		Faith group swimming sessions
		Over-60s swimming sessions
		Sessions for children - play sessions or school holiday activities
		Open swimming sessions
		Fitness equipment in gym
		Health and Fitness classes
		Squash
		Sports hall activities, eg. badminton
		Other

	Please specify:

Q5	Please tell us your top three priorities for a new building, marking them from 1 to 3, with 1 being the most important:
		1		2		3
	Close to other local facilities
	Combination of services under one roof making it easy to use for families
	Environmentally sustainable building
	Flexible space for the community to use
	Good transport links - easy to get to by public transport or by walking
	Modern, efficient facilities
	Other

	Please specify:

Q6	Which would be your priorities for the service in the leisure centre part of a new facility? Please choose the four most important to you, marking them from 1 to 4, with 1 being the most important.
		1		2		3		4
	Helpful and knowledgeable staff
	Programmed activities
	Cleanliness and repair of building
	Refreshments available
	Wide range of fitness equipment
	Single sex changing cubicles
	Unisex changing cubicles
	Low cost for young people
	Low cost for older people
	Low cost for all Manchester residents

	Please describe any specific needs you may have.

Q7	Which programmes and activities would be of interest to you in the leisure centre part of a new facility? Please choose the four most important to you, marking them from 1 to 4, with 1 being the most important.
		1		2		3		4
	Swimming lessons (including school lessons)
	A swimming club to bring on swimming skills
	Women-only swimming sessions
	Men-only swimming sessions
	Faith group swimming sessions
	Over-60s swimming sessions
	Sessions for children - play sessions, school holiday clubs
	Organised activities and programmes for other groups
	Health and Fitness classes
	Sports hall activities, eg. badminton, basketball, etc
	Squash
	Coach/instructor-led activities
	Other

	Please specify:

Q8	If you use a swimming pool at the moment, do you think the current water temperature in Manchester City Council swimming pools is...
		Too low
		Too high
		Just about right
		I don’t use a swimming pool at the moment

Q9	What health and fitness activities are of interest to you when using the Gym? Please choose the four most important to you, marking them 1 to 4, with 1 being the most important.
		1		2		3		4
	Modern cardiovascular equipment such as cross trainers, rowing machines and treadmills
	Fixed-weight training equipment
	Free-weight training equipment
	Exclusive zones for exercise groups and classes
	Circuit training area

Q10	Which services would be most important to you or your family in the library section of a new facility? (Tick all that apply.)
		Wide range of books for adults
		Wide range of books for children
		DVDs to borrow
		Access to electronic resources/e-books
		Access to information
		Local and family history resources
		Newspapers and magazines
		Helpful and knowledgeable staff
		Study space
		Use of computers with free internet
		Free wi-fi
		Events and activities for children
		Baby/toddler storytime
		Events and activities for adults
		Adult learning opportunities
		Access to other Council Services
		Cleanliness and repair of building
		Refreshments available
		Improved meeting room space
		Purpose-built toilet facilities
		Other

	Please state:

Please tell us about yourself.

You do not need to answer all the questions, but if you do, you will help us know whether we are asking a wide enough range of people. We want to hear as many views as possible.

Q11	Which of the following best describes you, or who you represent, in filling in this form?
		Library customer
		Leisure centre customer
		Business representative
		Partner organisation
		Voluntary/community group
		Non-user library
		Non-user leisure centre

Q12	On average how often do you use a leisure centre or library?
		Leisure Centre		Library
	Every day
	Once a week
	Once or twice a month
	Less than once or twice a month
	Never

Q13	Are You:
		Male
		Female

Q14	Where do you live? Please tell us your postcode.

Q15.	How old are you?
		14-18 years		19-24 years		25-34 years		35-44 years
		45-54 years		55-64 years		65+ years		Prefer not to say

Q16.	How would you describe your status?
		In full-time education		Looking after family/home		Retired
		Work full-time		Registered unemployed		Permanently sick or disabled
		Work part-time		Volunteer		Self-employed

Q17.	Do you have a disability?
		No		Learning (eg. dyslexia)		Eyesight
		Hearing		Mobility (getting around)		Mental health (eg. depression)

Q18.	Are you?
		Lesbian		Bisexual		Prefer not to say
		Gay		Heterosexual

Q19.	Which of the following best describes your ethnic background?
		White British		Mixed/multiple ethnic origin
		Black/African/Caribbean/Black British		Vietnamese
		Other White background		Asian/Asian British
		Chinese		Other origin

	Further contact: Please provide your email address if you would like us to email you with updates of the latest news and events in the city or in your area.

Additional comments

	Do you have any further comments?