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TRIAL QUESTIONNAIRE

This questionnaire is to help us have a conversation about how we can make church the best experience for you and to enable you / your family / those with you, to engage, integrate, be included and participate to the fullest possible. Although we cannot promise to meet every need, we will do our utmost to do so. Thank you for taking the time to talk with us.

 

When we say “Do you” please apply this to your situation - e.g. do you / your child / anyone you care for / are responsible for / your family.

Please write n/a in order to get to the next question if you have nothing to comment on any particular question. 

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Some people are bothered or are not comfortable with the sounds, smells, sights, movement, touch and other experiences at church: their sensory experience.

As sensory issues are very environmentally dependent, please specify the setting / physical location for each question where the challenges lie. E.g main service, age-appropriate groups, home groups, social activities…

There are 12 questions.

Question 2 of 14

1) Do you struggle with the sounds in church? (sound system too loud, too much chatter, the noise of equipment, unpleasant noises, can’t hear…Auditory Processing.) Is there anything you are aware of that would help?

Question 3 of 14

2) Do you struggle with anything seen in the church? (lights too bright / too dim, too cluttered, can’t see the screen, can’t see the writing in the book, can’t see the writing on the screen, clear signs…Visual Processing.) Is there anything you are aware of that would help?

Question 4 of 14

3) Do you struggle with the activity level in church? (too much stand and sit, too long to sit still, nothing or no equipment to help someone who needs to move, rails on stairs, differences in floor levels, ramp/lift access…Vestibular Processing.) Is there anything you are aware of that would help?

Question 5 of 14

4) Do you struggle with the smells in church? (bathroom fragrance, cleaning fluids, refreshments,...Olfactory Processing.) Is there anything you are aware of that would help?

Question 6 of 14

5) Do you struggle with the touch experiences in church? (people too close, enough personal space between seats, no arms to chairs, bumping into people coming in and out of the church, amount of hugs or lack of hugs, the texture of seating, the texture of flooring, the texture of hand towels, toilet paper…Tactile Processing.) Is there anything you are aware of that would help?

Question 7 of 14

6) Do you struggle with the taste / food experiences in church? (hospitality is a problem, life/home groups, parties…Gustatory Processing.) Is there anything you are aware of that would help?

Question 8 of 14

7) Do you struggle with getting around / doing things in church? (seats too close, seats not at the right height, cups difficult to grasp drink from, taps in bathroom, door handles, gets too close to others...Proprioceptive Processing.) Is there anything you are aware of that would help?

Question 9 of 14

8) Do you have particular needs or issues around toileting, temperature regulation or appetite? (Interoceptive Processing)

 

Question 10 of 14

9) On a scale of 1-10 (10 being most stressful) how challenging / stressful do you find coming to / being in church?

Question 11 of 14

10) Do you ever NOT attend church due to something relating to your own/your child’s/individual's additional needs? If so please explain more about the reasons for this and the frequency at which this happens.

Question 12 of 14

11) During the main service, if solutions could be found, would you prefer:

A

To be supported (to stay together) in the main sanctuary

B

To access a space / appropriate group, outside the main sanctuary (with someone else to support).

C

To access a space / appropriate group, outside the main sanctuary (together).

Question 13 of 14

12) Anything else you would like to comment on? Is there anything specific you feel we should know about any additional needs? What would help you to be able to participate more fully in church? 

Thank you for your time.

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