Autsera Neurodiversity Game Survey

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Email* This field is required.

example@example.com

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Name

First Name

Last Name

3

Year of birth of your child (about whom you are filling this questionnaire)* This field is required.

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Month of birth of your child (about whom you are filling this questionnaire)* This field is required.

5

What is the gender of your child?* This field is required.

Male

Female

Prefer not to say

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Your relationship to the child* This field is required.

Mother

Father

Other

7

Does your child have autism diagnosis?* This field is required.

Yes

No

Other

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Is your child currently attending mainstream school?* This field is required.

Yes

No

9

In terms of academic skills, what level is your child currently working at?* This field is required.

Above the expected level for their age

At the expected level for their age

Below the expected level for their age

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In terms of social and communication skills (for example: ability to talk to friends, ability to cope with social situations, etc.) what level is your child currently at?* This field is required.

Above the expected level for their age

At the expected level for their age

Below the expected level for their age

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Does your child receive any additional support? (choose all that apply)* This field is required.

Speech and language therapy

Occupational therapy

Play therapy

Academic tutoring

Support for developing social skills

None of the above

Other

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Which of the following aspects of your child's development would you like more support for? (choose all that apply)* This field is required.

Speech and language development

Academic skills (reading, maths, etc.)

Social skills such as talking to other children

Cooperative skills such as the ability to play games and share

Life skills such as managing money

None of the above

Other

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Are there any board games or computer games used by your child’s teachers or other support staff to develop their communication skills?* This field is required.

Yes

No

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Please specify the board games or computer games your child uses

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Do you feel these games benefit your child’s development?* This field is required.

Yes

No

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In what way do these games benefit your child?

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Are there any activities your child engages in outside of school (sports, clubs, hobbies) that you feel help them to develop their social and/or communication skills?* This field is required.

Yes

No

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Please specify up to 3 of these activities.

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In what way do these activities help your child?

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Does your child play computer games (games on a PC, PlayStation, Nintendo, etc.)?* This field is required.

Yes

No

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Why doesn’t your child play computer games?

My child has no interest in computer games

Most computer games are too difficult for my child

My family doesn’t have access to computer games

I prefer not to allow my child to play computer games

Other

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What game(s) does your child play most often? (Please name up to three games)

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Do you feel any of these games are beneficial for your child’s social and/or communication skills?* This field is required.

Yes

No

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Please specify the game that you believe is most beneficial to your child

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In what way do you feel this game benefits your child?

It allows them to interact with other children

It helps to develop their language

It expands their vocabulary

It gives them something to discuss with other children

It teaches them to cooperate with other children

Other

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Would you like to add any more information or comments?

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