Children and Young People Activities and Services Survey 2008 All organisations working with children and young people are being invited to take part in this survey which is being carried out by Voluntary Action Wokingham Borough on behalf of Wokingham Borough Council and its partners under the Children’s Trust arrangements. We are gathering information about all the groups, organisations and clubs providing services or activities to under-25s in Wokingham Borough.  We are also including those aimed at adults in their role as parents. If you have any questions or would prefer to complete this questionnaire on paper, please contact Children's Centre Programme Officer, Sarah Mayall. Email: sarah.mayall@wokingham.gov.uk Phone: 0118 974 6274

Children and Young People Activities and Services Survey 2008 Section A: Contact and Mapping Information A1 Organisation Contact Details (for use by the public - as you would like them to appear in any listings): NB: If you do not wish to be included in any public listings we will treat all information as confidential - tick the box on the last page.   Name of organisation   Name of Contact Person* (optional)   Address   Postcode   Email address(es)   Website address   Telephone number(s) - please indicate what these numbers are for: i.e. helpline, office, hall, contact person, etc.   *It is assumed that the organisation has obtained the agreement of this person for their contact details to be included on the form. A2 Please give details of any other names or abbreviations your organisation is/has been known by: A3 Details of lead contact person* if different to above (not for public use, but by practitioners and for keeping the information up to date): This information is optional.   Name   Address   Postcode   Telephone number(s)   Email address(es)   *It is assumed that the organisation has obtained the agreement of this person for their contact details to be included on the form.

Children and Young People Activities and Services Survey 2008 Section B1:  About the services/activities/groups your organisation provides We need this information for EACH service/activity/group your organisation provides (e.g. drop-in sessions, parent and toddler group, advice line, parent support). If your organisation provides more than one type of service/activity/group, there are up to five opportunities to tell us about them on this electronic form. If your organisation offers more than five activities/services and you would like more forms to complete, please contact Sarah Mayall for additional pages. B1.1 Name of service/activity/group: B1.2 Postcode(s) of venue(s) of service/activity/group (please include all locations): Please include all locations. B1.3 What category does this service/activity/group fall into: Please tick all that apply. Activities/Things to do   Health Childcare   Housing & Homelessness Counselling/Therapy   Law & Crime Prevention Culture/Arts   Sport & Recreation Domestic Violence   Parenting Drugs & Alcohol   Information & Resources Education   Social Care Equalities/Rights & Respect   Special Needs Family   Staying Safe Financial/Practical & Legal   Other   Please specify other: B1.4 Please describe the main aims/functions of this service/activity/group: This will appear as a description of your service/activity/group in listings if appropriate. B1.5 Please provide KEY WORDS or phrases that describe the service/activity/group: (e.g. uniform group, dance, youth, sport, toddler activity, special needs) B1.6 Who is the service/activity/group aimed at? Please tick all boxes that apply. People of all ages Children aged 0-5 Children aged 5-11 years Young people aged 11-13 years Young people aged 13-19 years Young adults aged 19-25 years Parents/Carers of children under 5 years Parents/Carers of children aged 5-11 years Parents/Carers of young people aged 11-13 years Parents/Carers of young people aged 13-19 years Parents/Carers of young adults aged 19-25 years Expectant parents B1.7 Is this service/activity/group open to all families, children or young people in Wokingham Borough? Yes   No B1.8 Is this service/activity/group aimed at any specific groups or communities? (e.g. special needs, ethnic groups, gender-specific groups)? Please describe, including any specific eligibility requirements. B1.9 Which agencies or types of practitioners (if any) refer users to your service? B1.10 What are your opening/meeting times (including out of hours support)? B1.11 Please tick which Every Child Matters outcome this service/activity/group PRIMARILY contributes toward? If you feel your service/activity/group contributes significantly to a second outcome you may also tick ONE box in the second column. PLEASE TICK ONE BOX ONLY IN EACH COLUMN.   Primary   Secondary   Be healthy     Stay safe     Enjoy and achieve     Make a positive contribution     Achieve economic well being     Visit www.everychildmatters.gov.uk for more information about Every Child Matters. B1.12 Would you like to complete a second sheet about another type of service/activity/group? Yes   No

Children and Young People Activities and Services Survey 2008 Section B2:  About the services/activities/groups your organisation provides (Sheet 2) B2.1 Name of service/activity/group: B2.2 Postcode(s) of venue(s) of service/activity/group (please include all locations): Please include all locations. B2.3 What category does this service/activity/group fall into: Please tick all that apply. Activities/Things to do   Health Childcare   Housing & Homelessness Counselling/Thera