We would like to ask you, as the parent or guardian of a disabled child, what you think of our idea and what you would like to see included in the centre. Please could you spare 5 minutes of your time to help us make this dream come true. Many thanks for taking the time to read this and for completing the questionnaire on the following pages.

Your Name:

Your email address:

Do you think that you would use the centre?

Has your family previously been denied this type of facility?

How many disabled children would you bring to the centre?

How many able bodied siblings would you bring to the centre?

How many adults would accompany your children on a visit?

How often do you think you would use the centre?

Which sessions do you think you would use most during Term Time?
(please tick all that apply!)

Which sessions do you think you would use most during School Holidays?
(please tick all that apply!)

Which room do you think your disabled child would get the most pleasure and use out of?
(please tick all that apply!)

Would you consider having a birthday party for your child and their able bodied friends?

Would you use the café for drinks and snacks?

How long would you like a session to last?

How much would you be willing to pay per session for your child, sibling and two adults?

Do you think that the sessions should be pre-booked, to avoid disappointment?

Please tell us your postcode and advise us how far you would be willing to travel to attend the centre?

Would you be travelling by car?

Is there anything else that you would like to see included in the centre or do you have any further comments?

Postcode: