Community Indoor Playground Survey
We are conducting this survey to gather insights from the community regarding the demand and interest in an indoor playground designed to be fully inclusive of individuals with diverse physical and mental abilities. Our objective is to create a facility that not only provides a recreational space play space for children but also caters comprehensively to the needs of individuals with disabilities. All information collected will be used for research purposes.
Name
*
First Name
Last Name
Zip Code
*
Street Address
Street Address Line 2
City
State / Province
We are collecting zip codes to understand which communities/locations to look at for the indoor playground facility.
Email
*
example@example.com
Would you like to be added to our mailing list?
*
Please Select
Yes, please sign me up!
Not at this time, thanks!
We will be sending updates on our progress and will offer a special discount to people who sign up for our mailing list when we open.
Ethnicity
*
Please Select
American Indian or Alaska Native
Asian or Asian American
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific Islander
White or European
Other
Prefer Not to Answer
We are asking this question to ensure our survey represents a wide range of ethnicities.
How many children are in your family?
*
How far would you be willing to drive to an indoor playground facility?
*
1 - 5 Miles
6 - 10 Miles
11 - 15 Miles
16 - 20 Miles
21+ Miles
Indoor Playground Specific Questions
This section focuses specifically on indoor playgrounds, your experiences with them and features you would like to see.
How often do you visit an indoor playground facility?
*
Please Select
Weekly
Monthly
Quarterly
Yearly
Never
Select any of the following which have prohibited you and your child(ren) from visiting an indoor playground previously.
*
Cost
Location
Awareness of space
Accessibility (Facility was not inclusive)
Safety Concerns
No Restrictions
Other
Which features are most important to you when taking your child(ren) to an indoor playground facility?
Ex: Safety features, experience based, sensory based
Please rate your interest in the following areas.
Does not interest me
I'm intrigued, somewhat interested
Yes, this would be AMAZING!
Parent Groups / Meet Ups
Kid Groups / Meet Ups
Classes Offered
Birthday Party Packages
Small Business Pop-Up Shop Space
Cafe (Drinks & Food)
Community / Town Meeting Space
If you have another ideas not listed above, please share!
Membership Options
What are the types of membership options you would be interested in?
Nope, not for me
Probably Not
Neither for or against this option
Somewhat Interested
My Favorite! Yes, please offer this!
Pay Per Visit
Punch Card (ex: pay for 10 visits get one free)
Monthly Unlimited Pass
Discounts: Multi-Child Per Visit
Discounts: Needs Based
What is the range you would be willing to pay per visit (all day pass)?
*
Please Select
$1 - $10
$11 - $15
$16 - $20
$20+
Note: This is a baseline to get an idea. Actual rates may vary depending on location, features and support.
Center Inclusiveness
The following questions are designed to gather data on the range of disabilities within our community, ensuring that our indoor playground meets the diverse needs of all visitors.
Does your child(ren) have a disability?
*
Please Select
Yes
Prefer not to say
Non-Disabled
The following questions will gather more detailed data. If non-disabled is selected, skip to next section.
Multiple Selection List
Blind
Deaf
Light Sensitive
Muscular
Neurodivergent
Neurological
Sound Sensitive
Tactile Sensitive
Other
Additional Comments = We want to hear from you! Please use the space below to provide any additional input.
Please verify that you are human
*
Submit
Should be Empty: