Musical Connections Survey
Please help us!

Quench Arts is currently planning an application to the Big Lottery Fund to expand Musical Connections. Musical Connections is an established creative music making project for vulnerable, isolated and disabled adults with specific needs, including mental health service users. The project uses music making activities to build confidence, resilience and life skills, improving wellbeing and reducing isolation.

We are asking people who might benefit from the project in the future to complete this survey. We want to know if Musical Connections can help more people and, if so, how it can address your needs. Your views will really help us to shape the project and evidence whether there is a need.  
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Name *
Age (optional)
Postcode *
Phone (optional)
Email (optional)
Are you in employment? *
Are you doing any kind of training (e.g. at college?) *
Would you consider yourself to be/have any of the following? (Tick all that apply) *
Required
Do you receive any help from a professional/ family member/ friend? (Tick all that apply) *
Required
Do you feel that your physical or mental health affects your ability to play an active part in your community? *
Do you feel that your physical or mental health affects your ability to access training and development?       *
Do you feel that your physical or mental health affects your ability to improve your life skills?                         *
Do you feel that your physical or mental health affects your ability to have/progress in your hobbies?           *
Do you feel that your physical or mental health affects your ability to make friends? *
Do you currently attend any support groups or networks?   *
If yes, please detail:
Are these support groups specifically related to your condition? E.g., are there only people with your condition there?
Clear selection
Do you think there a gap in provision offered where you meet a mixture of people with different needs? *
Are there currently any opportunities or support available to you to help you bridge the gap to access mainstream activities?   *
What barriers do you experience in accessing mainstream activities in the community?: *
Required
Do you currently access any creative or music activities? *
If yes, please state what you do:
If yes to the above, do you write your own music/lyrics in these sessions?
Clear selection
Would you like to get involved in a music project like Musical Connections? *
What difference could an accessible music project like Musical Connections make to you or  people like you? How could it help? (Tick all that apply) *
Required
In the future, would you be interested in progressing to volunteer opportunities?                       *
Would you like to be added to the Musical Connections mailing list to hear about new opportunities in the future?   *
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