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Surveys
2015
June
M
MIR - Introductory Questionniare
MIR - Introductory Questionniare
0%
Exit Survey
Name of Prison
Name
Age
Ethnicity
Asian - British
Asian - Bangladeshi
Asian Indian
Asian - Other
Asian - Pakistani
Black - African
Black - British
Black - Caribbean
Black - Other
Chinese
Latin American
Middle Eastern
Mixed Ethnicity
Prefer not to say
White British
White European
White Irish
White—Other
Do you have any previous musical experience? If so what is it?
No
yes, please say:
Have you ever used music as a coping mechanism in the past? (please circle)
Yes
No
How do you feel music might help you in your recovery?
Rate the following (1= not at all, 6 = very)
1
2
3
4
5
6
How confident do you think you are?
How comfortable are you working in a group?
How far do you agree with the following statements? (1=strongly disagree, 6=strongly agree)
1
2
3
4
5
6
"I have hope for the future."
"I feel motivated to take part in other activities/groups in this prison."
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