Needham
Play Area Survey April 2016
Please take a moment to share your
views and return this form to:
Needham Playpark
Committee,
103 High Road,
Needham, IP20 9LG
1. Where do
you live?
q In Needham
q Outside Needham
2. Do you
care for children between the ages of: (tick as many as apply and please
include grandchildren or any others who regularly visit your home)
q 0-4 years
q 5-10 years
q 11-14 years
q 14+ years
3. What
kind of apparatus would you like to see in the new Play Park? Please tick your
top 6 choices:
q Adult exercise equipment
q Football goals
q Basket ball hoop
q Large Slide
q Junior slide
q Climbing wall / ropes
q Basket swing
q Large Swings
q Bucket swings (toddler)
q Picnic bench
q Standard bench
q Adventure trail
q See-saw
q Roundabout
q Children’s tower (inc.
playhouse / bridge / slide)
q Zip wire
q OTHER ___________
4. On
average, how often would you visit the Play Park?
q Almost daily
q At least once a week
q At least once a month
q Less than once a year
q Other________________
5. An
outdoor community space in Needham would help my family
q Yes (go to question 6)
q No (go to question 7)
6. I want
to support this project because it will help (please tick as many boxes as you
wish)
q Reduce isolation
q Relieve stresses
q Be a valuable facility for
the whole community
q Attract more young families
to the village
q Encourage my extended family
to visit more often
q Offer a safe space for young
people in the village to meet
q Encourage me to get out more
q Encourage me to take regular
exercise
q Improve my mental wellbeing
q Help my child learn social
skills
q Help my child learn motor
skills
q Other _________________
6. Do you
have any other comments about the play park in or near the village hall grounds?
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
7. Are you
interested in contributing further?
q I
would like to be kept informed of developments. My contact details are
...............................................................................
q I would like to join The
Playpark Committee
q I
have skills that may be useful for the project (fundraising, administrative,
carpentry, land knowledge, any other)
Thank you for taking the time to
fill in this survey. Your views are important and will be carefully considered.
Please return this
form to:
Needham Playpark
Committee,
103 High Road,
Needham, IP20 9LG
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