This survey is designed to help us understand more about your club. By answering these questions you are helping us to understand the provision for football in the Central Lancashire area. The information gathered will be used for the purpose of the assessment and will not be used for any commercial purpose. Please answer the questions for your main or home ground.   Please note the survey will need to be completed in one session to avoid timing out.   Name of club:   Please state the name and location (including postcode) of the homeground:   Please provide the name and contact telephone number for the club secretary:

Please use the space below to record the number of teams, the leagues they play in, when they play and where they play: For example: 2 X U7s, Greenfields Football League, Sat AM, Green Playing Fields.     In the previous three years has the number of SENIOR teams in the club:     Increased   Decreased   Stayed the same     If there has been a change please indicate by how many teams and the reasons for the change:   In the previous three years has the number of JUNIOR teams in the club:     Increased   Decreased   Stayed the same     If there has been a change please indicate by how many teams and the reasons for the change:

Does the club have plans to increase the number of teams?     Yes   No       If yes, please indicate how many more Senior mens teams   If yes, please indicate how many more Senior womens teams   If yes, please indicate how many more Junior boys teams   If yes, please indicate how many more Junior girls teams   Where will they play?   How does the club plan to attract more members? e.g., advertisement, coaching sessions, school/club links etc:

How far do the majority of the players travel to play?     Up to 2 miles   2-5 miles   5 miles +   What proportion of your players are from OUTSIDE the Central Lancashire area?     1-25%   26-50%   51-75%   75% plus   Does the club have a written development plan?     Yes   No       If yes, please indicate the main objectives:   Does the club have a waiting list?     Yes   No       If yes, please indicate how many are on the list:   Does the club have any any of the following FA Charter Standard Status?     Charter Standard Community   Charter Standard   Working towards Charter standard Development   None of these     Has the club applied for, or received, any funding over the past five years for pitch/facility developments?     Yes   No       If yes, please give details and identify whether funding was successful:   Does the club have any pitch/facility development plans?     Yes   No       If yes, please give details and state whether funding has been secured for these improvements:

HOME GROUND   Name of ground or playing field:     Is the ground owned, leased or rented?     Owned   Leased   Rented     If leased or rented, please state who you lease or rent from:   If leased, please state the length of the lease and when it expires:   If rented, please state the cost of renting the pitch per season:   Who maintains the ground?     Council   Club Parish council School Other   If other (please state):   Is this your main ground?     Yes   No       If no, please identify the others, including names and location details:   Is this your preferred home ground?     Yes   No       If no please state where is:   Are there any other sports facilities on site?     Yes   No       If yes, please list the other facilities, e.g., tennis courts, rugby pitches:

Do any other teams play at the site?     Yes   No       If yes, please give the name of the team and contact details if possible:   How many pitches are there at the home ground?     1   2   3   4   5   6+
How many pitches are Senior?		How many pitches are Junior?		How many pitches are Mini?
Do you have a designated pitch?     Yes   No       If yes, please indicate pitch number/location at site:   Approximately how many matches were cancelled (excluding because of frozen pitches) at the ground last season?     What were the main reasons for the cancellations i.e. waterlogged pitch, restrcited access to pitch etc?:   Where does the club train during the football season?     On the home ground   Elsewhere at the home ground Off site   If off site, please state where and what type of facilities the club uses e.g., grass pitch, artificial pitch:

ANCILLARY FACILITIES   Does the home ground have any of the following (please tick all that apply):     Clubhouse/pavilion   Fencing   Kitchen Floodlights   Officials room   Access for disabled Dugouts   Showers   Stands   Toilets     Are changing facilities available on site?     Yes   No       Does the Club access the changing facilities?     Yes   No       If no, why not?   Are there separate changing areas available?     Yes   No     Senior/Junior       Male/Female       Officials       How many changing areas available?     Senior/Junior   Male/Female   Officials   Who is responsible for the ancillary facilities?     Club   Council   Parish Council   School   Other   Who OWNS the facilities           Who MAINTAINS the facilities           If other, please state:   Is car parking available?     Yes   No       If yes, is this adequate for all pitches?   Has the site suffered from vandalism in the last year?     Yes   No     If yes, please indicate specific incidences:   If repairs were carried out please indicate the approximate cost

DEMAND   If more pitches were available at the home ground or in the area, would the club have more teams?     Yes   No       If yes, please state how many more teams and in which age groups:   If better facilities were available at the home ground would the club have more teams?     Yes   No       If yes, what facilities would be required (e.g. better changing):   Do you have demand for additional training facilities?     Yes   No       If yes, what type of facilities would be required (e.g. 3G pitch):

PITCH/FACILITY QUALITY   Has the quality of the pitch got better or worse since last season?   Much better   Slightly better   No difference   Slightly poorer   Much poorer   Please indicate why:   Are any of the following issues currently problematic for the club (please tick all that apply):     Lack of internal funding (subs/fundraising) Lack of external funding (parish council, NGBs) Lack of appropriate local facilities Access difficulties for members (cost, lack of public transport etc) Lack of information about local facilities Limited links with local clubs e.g exit routes Lack of voluntary assistance Membership recruitment/retention Other (please specify below)   Other:

Please rate the following aspects of the main home ground and facilities? Please tick the appropriate box:   Good   Average   Poor   N/A   Grass cover         Length of grass         Eveness of pitch         Size of pitch         Pitch gradient         Surface drainage         Adequate safety margins         Free from litter, dog fouling and glass         Evidence of unofficial use         Evidence of damage to surface         Line markings         Posts and sockets         Changing accommodation         Clubhouse facilities         Toilet facilities         Shower facilities         Overall pitch quality         Overall site quality (both pitch & ancillary facilities)         Please note any further comments/observations regarding facility and pitch provision here:   Thank you for taking the time to complete this survey. Knight Kavanagh & Page regard the lawful and correct treatment of personal information as important and is fully committed to the principles of data protection, as set out in the Data Protection Act.