how to / create centres / business plan / questionnaire / sample This sample is just to give you some ideas about the type of question you might ask. You will need to adapt it to provide the information you need and to suit your target client groups and local circumstances. It's a good idea to start with an introduction saying what your organisation is and what you want to do. Be clear on how you want questions answered, and give instructions (shown here in italics). For more general ideas go back to the sections on Questionnaire or Market Research Sample text Introduction [your organisation] is seeking funding to develop an Information and Communication Technology Centre (ICT) at [location]. To do this we need to identify in detail the types of training, facilities and support required by the local community - that's you! Please take a few minutes to help, by filling in this questionnaire. It has been designed as part of the research needed to raise the necessary funds. Your answers will help us to plan different uses and services. You do not need to give your name, and your answers are confidential. We will use them only to plan likely services and income for the project. You ca tick to show your answer, or write in comments if you prefer. Children and Young People Please answer this section only if you have school age children at home Would you pay for an after school homework/computing club? (eg 4- 6pm) YES __ NO __ Would you prefer the service to run: Every day __ Once or twice a week __ Holidays only __   Would you pay for your children/teenagers to attend an evening Computer club or Internet workshop (games and tuition)? YES __ NO __ How much would you expect to pay per child per session for either of these types of service? At the charge you have indicated, how many places would you buy a week (days multiplied by children): Afterschool/homework club: ................. Evening Computer/Internet club: ................. Comments on this section:   If NO, do you feel you will use one in the future YES __ NO __   Computers and Information Technology At Home Does your household have a home computer? YES __ NO __ If NO, does your household have other access to a computer for leisure or non-commercial use? Through friends or colleagues? YES __ NO __ Elsewhere (if so where?) _______ If YES what does your household use a computer for at present (please tick all that apply) Games and leisure __ Children use it __ Finding out information (eg Internet) __ Household management __ Communication (eg electronic mail) __ Voluntary work (eg for clubs) __   Computers and Information Technology in Your Business Does your business use a computer? YES __ NO __ If NO: Do you plan to buy one in the near future? YES __ NO __ MAYBE __ IF NO or MAYBE why is this? (tick all that apply): Don't know how to use one __ Too expensive__ Lack of support/knowledge __ Don't need one __ About You Are you: Employed __ Self-employed __ Retired __ Unwaged __ Registered Unemployed __ Please indicate your age range: Under 20__ 21 to 39 __ 40 to 59 __ Over 60__ How far do you live from [name of your centre's location] ............. Do you have any special needs? English is not your first language__ Trouble with reading or writing__ Poor eyesight __ Poor hearing__ Registered disable__ Care responsibilities__ Lone parent__ Other _____________________ If you would like to give us your contact details (name, address, phone) so that we can let you know about how the project is developing, please note them below: ________________________________ Thank you for helping us by filling in this questionnaire. how to / create centres / business plan / questionnaire / sample