Claydon High School

1
Claydon High School
A Safe Place to Be
Dear Student
This questionnaire is an exercise to collect your
views on whether you would like Claydon High
School to host a Safe Place To Be to work
alongside school clubs but for a longer period of
time for you after school. The intention is to
make it affordable to everyone.
All about you
1) Full Name _____________________________________
________________ 2) What tutor group are you
in? _____________________________
3) Are you Male? Female?
What are you currently involved in?
4) Do you ever stay on after school during term
time to take part in activities?
Yes No If yes, what activities?
_______________________________________________
Get Involved!
5) Do you attend other organised activities (out
of school) during term time?
Yes No If yes, what activities and where do they
take place? _________________________ __________
__________________________________________________
______
How can you help?
All your responses will be pulled together to
see if we can spot any patterns in what you are
asking for. Please could you fill in both sides
of this questionnaire return it to your teacher
6) Do you attend activities at other times (e.g.
in the holidays/weekends etc)? Yes No If
yes, what activities? ___________________________
____________________ _____________________________
_____________________________________
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What would you like to do in your Safe Place To
Be? 7) What activities would you be most like to
get involved with? (Tick the box for how you
feel about the idea)
Sports Music Drama
Arts ICT Homework Study Support Health
Drop Ins Other

What days would you like to use a Safe Place to
Be?
When would you like to use a Safe Place to Be?
Which subjects? _________________________________
______ Please specify _________________________
_______________

8) If we could offer a session (or sessions) with
a Youth Worker what would you like to see?
(Tick the box for how you feel about the idea)
Babysitting course Anger Management Community
Based e.g. Community Garden Drumming Other
Issues e.g. Bullying, family, mental/sexual
health, divorce
Safety 14) How do you currently keep in contact
with your parents at these times?
_________________________________________________
______
Travel/Transport 15) Are you allowed to go to and
from school without an adult? Yes
No 16) If you were to access these services how
would you get home afterwards? Public Transport
Adult pickup/car Would
lack of
transport
stop you
taking
part?
Please specify _________________________________
________