Questionnaire  For Artists

(Tick more than one box if appropriate throughout the questionnaire)

1. Name:

2. Contact Details

Address

Line 1

Line 2

Town/City

County

Postcode

Phone Number:

Email Address:

Website:

3. Art Forms Used

Music	Dance	Film/Video
Multi-arts	Drama	Crafts
Creative writing	Photography	Visual arts
Other (Please specify)

4. Profile

5. Which group do you work with?

Age

Children (7-14)	Juveniles (15-17)
Young people (18-21)	Young adults (21-25)
Adults (25+)

Sex

Male

Female

6. Where do you normally work?

UK & Ireland	Europe	Elsewhere
North East	Yes No
North West
Midlands	If yes, please specify	Please specify
East
South East
South West
London
Wales
Scotland
Northern Ireland

7. In which sectors do you usually work?

Criminal Justice System	Mainstream Education
Health	Specialist Education
Mental Health	Youth Arts
Disability	Community Arts
Other (Please specify):

8. Do you have a CRB Disclosure Certificate?

Yes No
If yes, please specify	Standard Enhanced

9. Do you have any sector specific training?

Yes No

If yes, please specify

10. If you work within the Criminal Justice System sector, please give details:

	Institution’s name/location
Male Prisons
Female Prisons
Young Offender Institutions (YOI)
Secure Units
Youth Offending Teams
Probation Service
Other (Please specify):

11. Please give example(s) of projects you have run within prisons and YOIs in the last 12 months:

Date:

Title:

Brief Outline:

Date:

Title:

Brief Outline:

12. Do you also run projects which use the arts as a means to prevent offending? (If no go to question 16)

Yes

No

13. If so, how many such programmes do you run per year?

1-5

6-20

20+

14. Please give example(s) of the above:

Date:

Title:

Brief Outline:

Date:

Title:

Brief Outline:

15. Would you be happy to provide us with more detailed information on a specific crime prevention programme you have run?

Yes

No

If yes, please also fill in the Project Questionnaire or send us an evaluation report if available.

16. Do you run arts projects which aim to explore and/or address the following issues:

Literacy	Prejudice/discrimination	Offending behaviour
Numeracy	Health	Victim awareness
Drugs	Sexual Health	Bullying
Alcohol	Anger Management	Employment/preparation for work
Other (please specify):

17. Please tick the box(es) if you authorise us to use the information provided on the Anne Peaker Centre and/or the Joining the Dots website(s)?

Anne Peaker Centre

Joining the Dots

18. Comments?

THANK YOU!

If you have any pictures that you would like us to include on the websites please send them to pdm@apcentre.org.uk


The Joining the Dots questionnaire and website
have been produced by the

financially supported by

The Monument Trust

design and implementation by


www.escapeartists.co.uk
.

.