Cove Physical Survey

Profile - Step 1 of 3

One of our objectives is to build a community center where families with sensory sensitivities can come and enjoy social and enrichment activities. We'd like to know what kinds of things you would be interested in from a community center. We'll be donating $1 to The Cove School for each Physical Location Survey completed by Cove families.

Please provide again so we can match up all of your families forms.

Would you go to a community center that was focused on sensory sensitive families?

Yes
Maybe
No

Who in your family has sensory sensitivities?

One of our kids
Some of our kids
All of our kids
One of the parents
Both parents
Nobody

What would interest you in a community center like this?

We're currently unsuccessful at spaces without sensory controls in place
It would be a better fit for my family
As parent, I would prefer a calmer atmosphere for my kids
I would prefer to be in a calmer space

What kinds of offerings would you be interested in? (Select all that apply.)

Classes
After school programs
Camps
Party space
Social events
Open play times
Caregiver social events
Caregiver workshops

What kinds of programs would you hope for at a community center focused on sensory sensitive kids?

Social Experiences

Not Interested	Slightly Interested	Interested	Very Interested
Not InterestedSocial Experiences Not Interested	Slightly InterestedSocial Experiences Slightly Interested	InterestedSocial Experiences Interested	Very InterestedSocial Experiences Very Interested

Skill Improvement Experiences

Not Interested	Slightly Interested	Interested	Very Interested
Not InterestedSocial Experiences Not Interested	Slightly InterestedSocial Experiences Slightly Interested	InterestedSocial Experiences Interested	Very InterestedSocial Experiences Very Interested

Interest based

Not Interested	Slightly Interested	Interested	Very Interested
Not InterestedSocial Experiences Not Interested	Slightly InterestedSocial Experiences Slightly Interested	InterestedSocial Experiences Interested	Very InterestedSocial Experiences Very Interested

Enrichment

Not Interested	Slightly Interested	Interested	Very Interested
Not InterestedSocial Experiences Not Interested	Slightly InterestedSocial Experiences Slightly Interested	InterestedSocial Experiences Interested	Very InterestedSocial Experiences Very Interested

Other

Not Interested	Slightly Interested	Interested	Very Interested
Not InterestedOther Not Interested	Slightly InterestedOther Slightly Interested	InterestedOther Interested	Very InterestedOther Very Interested

Would you sign up for the activity types below at a sensory sensitive center?

Creative classes

Yes, for my sensory-sensitive kid(s)	Yes, for all of my kid(s)	No
Yes, for my sensory-sensitive kid(s)Yes, for my sensory-sensitive kid(s)	Yes, for all of my kid(s)Yes, for all of my kid(s)	NoNo

Sports

Yes, for my sensory-sensitive kid(s)	Yes, for all of my kid(s)	No
Yes, for my sensory-sensitive kid(s)Other Yes, for my sensory-sensitive kid(s)	Yes, for all of my kid(s)Other Yes, for all of my kid(s)	NoOther No

Scouts

Yes, for my sensory-sensitive kid(s)	Yes, for all of my kid(s)	No
Yes, for my sensory-sensitive kid(s)Other Yes, for my sensory-sensitive kid(s)	Yes, for all of my kid(s)Other Yes, for all of my kid(s)	NoOther No

Art

Yes, for my sensory-sensitive kid(s)	Yes, for all of my kid(s)	No
Yes, for my sensory-sensitive kid(s)Other Yes, for my sensory-sensitive kid(s)	Yes, for all of my kid(s)Other Yes, for all of my kid(s)	NoOther No

Music

Yes, for my sensory-sensitive kid(s)	Yes, for all of my kid(s)	No
Yes, for my sensory-sensitive kid(s)Other Yes, for my sensory-sensitive kid(s)	Yes, for all of my kid(s)Other Yes, for all of my kid(s)	NoOther No

Dance

Yes, for my sensory-sensitive kid(s)	Yes, for all of my kid(s)	No
Yes, for my sensory-sensitive kid(s)Other Yes, for my sensory-sensitive kid(s)	Yes, for all of my kid(s)Other Yes, for all of my kid(s)	NoOther No

Other

Yes, for my sensory-sensitive kid(s)	Yes, for all of my kid(s)	No
Yes, for my sensory-sensitive kid(s)Yes, for my sensory-sensitive kid(s)	Yes, for all of my kid(s)Yes, for all of my kid(s)	NoNo

How important do you think the supports listed below are for community center focused on sensory sensitive kids?

Lower adult/child ratios

Not important	Slightly important	Very important	Critical
Not importantItem #1 Not important	Slightly importantItem #1 Slightly important	Very importantItem #1 Very important	CriticalItem #1 Critical

Sensory accommodations available

Not important	Slightly important	Very important	Critical
Not importantItem #1 Not important	Slightly importantItem #1 Slightly important	Very importantItem #1 Very important	CriticalItem #1 Critical

Environmental sensory inputs are controled

Not important	Slightly important	Very important	Critical
Not importantItem #1 Not important	Slightly importantItem #1 Slightly important	Very importantItem #1 Very important	CriticalItem #1 Critical

With other children with sensory needs

Not important	Slightly important	Very important	Critical
Not importantItem #1 Not important	Slightly importantItem #1 Slightly important	Very importantItem #1 Very important	CriticalItem #1 Critical

Professional OT trained staff

Not important	Slightly important	Very important	Critical
Not importantItem #1 Not important	Slightly importantItem #1 Slightly important	Very importantItem #1 Very important	CriticalItem #1 Critical

Empathetic staff

Not important	Slightly important	Very important	Critical
Not importantItem #1 Not important	Slightly importantItem #1 Slightly important	Very importantItem #1 Very important	CriticalItem #1 Critical

How far are you willing to drive to a community center focused on sensory sensitive kids?

10 min
30 min
1 hour

Are you willing to drive farther than your local community center for one that is built with sensory sensitivies in mind?

Yes
Maybe
No

What's a good length of time for a social or enrightment experience for your child(ren)?

45 min
1 hour
1.5 hours
2 hours

When would you most likely use this type of community center? (Select all that apply.)

Around naps
After school
When the kids are out of school
Weekends
Random times when we are available

How much farther are you willing to drive?

10 min
30 min
1 hour

Would you be willing to pay more for an activity that was built with sensory sensitivies in mind?

Yes
Maybe
No

How much more do you think having sensory sensitivities accounted for and supported is worth?

a little bit more (<10%)
this would be worth a premium (<30%)
anything, please just build it! (>50%)
unsure

Do you think that families similar to yours have a similar belief?

Yes
No
Not sure

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