Meden Vale Bungalow: satellite site to Warsop Children’s Centre

1. Are you taking part in this consultation as: (Please tick those that apply to you)

A parent/carer of children under 5 only A parent/carer of children over 5 only A parent/carer of children under 5 and over 5 A parent expecting a baby Member of public with no children A volunteer A staff member at either school or for Nottinghamshire County Council (including Children’s Centre Service staff) A staff member/manager/owner of a local childcare setting (including childminders) A professional who works with the Children’s Centre Service or school

2. Parents only: What is your post code?

3. Do you agree with the plan to change the use of the bungalow, so that both the infant, nursery and the junior schools can use it all of the time?

Yes No Not Applicable

Comments

4. What sort of activities would you like to take place at the bungalow?

5. If your child is 2, 3 or 4 – do they use their funded nursery place?

Yes No

6. If yes – does your child go to:

The school nursery/foundation unit A day nursery A pre-school playgroup A registered childminder

7. What is your age group?

Under 16 16-25 26-35 36-45 46-55 56-65 65+ Prefer not to say

8. What is your gender?

Male Female Transgender Prefer not to say

9. Do you consider you have a long-term health problem or disability?

Yes No Prefer not to say

10. What is your ethnic origin? Tick one box only.

White - English/Welsh/Scottish/Northern Irish/British White - Irish White - Gypsy or Traveller

White - any other background (please state)

Mixed - Black Caribbean & White Mixed - Black African & White Mixed - Asian & White

Mixed - any other mixed background (please state)

Asian/Asian British - Indian Asian/Asian British - Pakistani Asian/Asian British - Bangladeshi Asian/Asian British - Chinese

Asian/Asian British - Any other Asian background (please state)

Black/Black British Black/Black British - African Black/Black British - Caribbean

Black/Black British - Any other Black background (please state)

Arab

Any other ethnic group (please state)

Prefer not to say

Meden Vale Bungalow: satellite site to Warsop Children’s Centre

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Meden Vale Bungalow: satellite site to Warsop Children’s Centre