New volunteer formNew Volunteer feedback 1 Your Revitalise experience2 Your volunteering experience3 Your personal informationWhen was your start date?* Where were/are you volunteering?*Jubilee LodgeNetley Waterside HouseSandpipersOther - please specifyLength of volunteering*Please select1 week2-4 weeks2-3 months4-6 monthsMore than 6 monthsWhat type of voluntary work did you undertake?*Residential volunteering at a Revitalise centreNon-residential volunteering at a Revitalise centreVolunteering at a Revitalise shopVolunteering at Revitalise head office in LondonTaking part in an event or other kind of fundraising for RevitaliseOn a scale of 1 (excellent) to 4 (poor), please rate the following:Information prior to your volunteer placement*Please select1 - Excellent234 - PoorThe booking process*Please select1 - Excellent234 - PoorYour induction*Please select1 - Excellent234 - PoorTraining*Please select1 - Excellent234 - PoorVolunteer accommodation*Please select1 - Excellent234 - PoorNot applicableSupport from staff*Please select1 - Excellent234 - PoorOverall experience*Please select1 - Excellent234 - PoorWelcome on arrival*Please select1 - Excellent234 - PoorCleanliness of centre*Please select1 - Excellent234 - PoorNot applicableFood*Please select1 - Excellent234 - PoorNot applicableOrganisation of excursions*Please select1 - Excellent234 - PoorNot applicablePlease describe how you feel your support as a volunteer improved or impacted the guests' experience:Optional - please explainHave you undertaken any voluntary work before?*YesNoPlease indicate if you consider volunteering with Revitalise has benefited you in the following ways:Improved your self-confidence*Please select1 - A lot234 - Not allMade you more aware of diversity issues*Please select1 - A lot234 - Not allMade you more tolerant towards others*Please select1 - A lot2 -3 -4 - Not allEncouraged you to take a more active part in your home community*Please select1 - A lot234 - Not allWhat would you say were your main motivations for volunteering with Revitalise?*Specifically to improve my job prospectsSelf development as a personFor a challengeFor a new experienceMaking new friends/meeting peopleSense of service to othersSelect all that apply - hold down the control (Ctrl) button to select multiple options.Other - please specifyWhat would you say were the biggest barriers you had to overcome in order to volunteer at Revitalise?*Lack of confidence in my own abilitiesFear of the unknown/being out of my comfort zoneFeeling nervous around disabilityLack of free timeWorries that I would let people downLack of money/financial issuesSelect all that apply - hold down the control (Ctrl) button to select multiple options.Other - please specifyHow would you say your volunteering experience with Revitalise has influenced your career path?*Encouraged me to think more about my future career pathEncouraged me to think more about further education or trainingInspired me to improve my own lifeInspired me to consider a career in social or health careImproved my employment prospectsImproved my prospects of advancing my careerInspired me to change my career pathSelect all that apply - hold down the control (Ctrl) button to select multiple options.Other - please specifyIf you become a carer tomorrow, to what extend do you think your volunteering experience has prepared you?*I feel very preparedI feel better preparedI feel somewhat preparedI feel much the same as beforeI feel unpreparedWould you consider volunteering with Revitalise again? (Don’t forget, your DBS certificate is valid for 3 years from the date of issue)*YesNoWe rely on fundraising income to provide our vital services. Would you be interested in fundraising for Revitalise?*YesNoIn what other ways might you be interested in supporting Revitalise?*Sharing the story of your volunteering experience to help with our fundraising and PR campaignsTaking part in one of our fundraising events or organising your ownSpreading the world about Revitalise to friends and familyMaking a donationSelect all that apply - hold down the control (Ctrl) button to select multiple options.Would you recommend volunteering with Revitalise to your colleagues, friends and family?*YesNoDo you have any other comments or suggestions?OptionalVolunteer informationYour name (optional) First Last What is your age?*16-1819-2526-5556-75Over 75What is your gender?*FemaleMaleOther - please specifyAre you currently:*A studentWorking full timeWorking part timeUnemployedRetiredOther - please specifyYour email (optional) Enter Email Confirm Email Your phone (optional)
