Pennypit Play Area Consultation

1. Are you completing this survey on your own behalf or on behalf of someone else?*

*Please note: If you are completing this on behalf of someone else, please complete the rest of this survey from their viewpoint.

(Required) Behalf of myself Behalf of someone else

2. Do you / they currently use this play area?

(Required) Yes No

3. What best describes who you / they are? (Select all that apply)

(Required) A child / young person A parent / carer A parent / carer who supports a child, young person or adult with additional support needs A local resident A teacher / school staff member A committee member / volunteer of a local community organisation Prefer not to say Other (Please specify)

4. What is your / their age group?

(Required) 0 - 5 (Pre-School) 6 - 12 (Primary School) 13 - 15 16 - 21 22 - 49 Over 50

5. What best describes your / their gender?

(Required) Female Male Prefer not to say Prefer to self-describe

Who are you?