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Questionnaire about playground (for children on the spectrum)
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How old are you?
Your answer
What spectrum of Autism do you have?
Your answer
Do you have any sensory issues? If yes, what?
Your answer
You play
Choose
Alone
with Siblings
with Friends
What are your favorite places?
Your answer
What is your hobby? Do you take part in any extra curricular activities? Like theater, music or art?
Your answer
What is your favorite activity on the playground? / What part of the playground do you like the most?
Your answer
Is there any element/ event in the park/ playground that stresses you out?
Your answer
What helps or what type of outdoor place helps if you are having a meltdown?
Your answer
What elements/activities in the outdoor soothe your senses?
Your answer
What new elements/ activities can make you more interested in play?
Your answer
What would you like to change about the existing playground where you play at?
Your answer
What qualities should a playground/ park have to be helpful for your pain points /sensitivities?
Your answer
What satisfactory points are you looking for in a play space?
Your answer
Any outdoor activity/ area that helps you for focusing or for studying?
Your answer
Are you playing more in the regular playground elements like swings, slides, etc, or are you playing with natural elements, i.e, sands, muds, rocks or water, etc.?
Your answer
Please tick any number of option below, you can play in the following locations:
very quiet with almost no one else
somewhat quiet with very few other people
you are not okay with a bit crowded playground
Clear selection
Please tick one or any number of options below. You will like to be in a playground which has
reading areas
music corner
painting corner
quiet corners / quiet sitting areas
moving water
gardens
Other:
Any features that you thought were missing in the playgrounds in terms of comfort? Can be also unrelated to play.
Your answer
If you like to, you can draw and design your own playground. This activity will help you to freely express what kind of playground you would like to play. It will help me a lot if you can send me the drawings at
latahiti17@gmail.com
. This will help me to see your interest points.
okay
Sorry, it will be hard to manage
Row 1
okay
Sorry, it will be hard to manage
Row 1
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