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SEN Sensory Playgroup
1.
Do you have a child 0-5 years with diagnosed or suspected SEN/SEND?
Yes
No
2.
Do you feel your child would benefit or already benefits from sensory play?
Yes
No
3.
Would a sensory play based playgroup especially for children with SEN/SEND be something you would be interested in exploring?
Yes
No
4.
Would you prefer a more support based SEN/SEND playgroup for families based around a particular learning or physical impairment (e.g Autism) or a more mixed ability setting suitable for varied needs more catered for children to play and socialise?
support based for children with similar needs
mixed ability group purely for play and socialising
5.
Which of these would be most beneficial to your child/children (Mark all that apply)
small group with less then 10 children
larger group with 10 plus children
quietness and a calm environment
opportunities to move freely, climb, jump explore and express themselves vocally and through music
pica friendly toys and equipment
a darker environment
lights and visual stimulation
opportunities to play and socialise with other children with structured activities
opportunities for more solo play
a play routine with specific parts to help them feel settled and comfortable (eg a hello song, story-time)
Other (please specify)
6.
Which of the following would benefit YOU as a parent or carer? (mark all that apply)
To meet other families in similar situations
To have a support network
The opportunity for your child to socialise and mix with other children
The ability to see the space first with your child so you can familiarise yourself with the area (either in person or through a video tour)
To have a PAYG service
To be able to book and pay online in advance
To have a staff member on site to support, chat with and play with your children if requested
Other (please specify)
7.
What would be the best day and time for your family (mark all that apply)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Morning
Afternoon
8.
How frequently would you like the playgroup to run?
weekly
monthly
bi monthly
every half term (6 weekly)
9.
What is the general nature of your child's SEN/SEND? (The below is a representative of conditions that affect a large majority of our Sensory4all currant customer family. Please mark all that apply if comfortable)
Autism
ADHD
Epilepsy
Speech-Language-Communication difficulties
Behavioral Challenges
GDD
PLMD
Genetic Disorder
Sensory impairment (e.g visual or audio difficulties) or Sensory Processing Disorder
Dyspraxia/ motor skill delay
Downs Syndrome
Cerebral Palsy
Other Physical Disability
Pica
Other
Prefer not to say
10.
For grant funding purposes please could you supply your postcode. Thank you.