Questionnaire For Organisations

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

1. Organisation Name:

2. Contact Details

Address

Line 1

Line 2

Town/City

County

Postcode

Contact Name:

Position:

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. Please provide details of your organisation’s aims, objectives and general activities.

5. Please describe your client group

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. 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):

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

Date:

Title:

Brief Outline:

Date:

Title:

Brief Outline:

10. Do you also run projects which use the arts as a means to prevent offending? (If no go to question 14)

Yes

No

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

1-5

6-20

20+

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

Date:

Title:

Brief Outline:

Date:

Title:

Brief Outline:

13. 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 fill in the Project questionnaire or send us an evaluation report if available.

14. 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):

15. Are any of the above programmes accredited through the OLSU/NOCN or another accreditation body?

Yes	No
Please specify:

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

Anne Peaker Centre

Joining the Dots

17. 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

.