GiGi's Playhouse Annapolis Survey
RequiredRequired Question(s)
GiGi's Playhouse is a non-profit organization with Down syndrome awareness and educational centers around North America.  The centers provide resources, specialized teaching and support to individuals with Down syndrome, their families and the community.  The locations help foster an environment of positive energy, high expectations, consistent participation and achievement across a broad variety of educational and therapeutic programs.

All of the GiGi's Playhouse programs are FREE to families and each of them is designed to work on specific skill development in several areas including speech and language, social development and fine and gross motor skills.  Programs serve individuals of all ages, from expectant parents to newborns and toddlers to teenagers to adults.

A dedicated team of individuals is working hard to bring a GiGi's Playhouse to Annapolis with a target of opening in Spring 2017.
 
Required 1.

Do you know someone with Down syndrome?

Yes
No
2.

What is your relationship with the individual with Down syndrome?

Family member
Student
Patient
Friend
Employee or Co-Worker
3.

What age group are they in?

Birth to age 3
Age 4-12
Teenager
Adult
4.

Which TWO of the following aspects of GiGi's Playhouse do you think are most important for this area?  Please choose 2.

Having a place to meet and interact with other families who have a loved one with Down syndrome
Educational programs (1-1 Literacy and Math tutoring)
Developmental programs (e.g., speech and language, handwriting, dance and drama programs, etc.)
Building awareness in the broader community
Prenatal guidance
Family support groups (e.g., parents, grandparents, siblings)
Other  
  • Comment:

  • 500 characters left.
5.

In what part of town would you like to see GiGi's Playhouse located?

 

50 characters left.
6.

How far would you be willing to drive to volunteer or participate in programs at GiGi's Playhouse?

Up to 10 miles
Up to 25 miles
Up to 50 miles
Up to 75 miles
7.

Have you ever been to a GiGi's Playhouse?  There are currently 25 locations in North America.

Yes
No
8.

GiGi's Playhouse is largely run by volunteers.  Would you be willing to help?

Fund raising
Events volunteers
Board member or startup committee
Tutor for future literacy/math programs
Therapies
Not right now
Other  
9.

Would you like to offer physical labor or materials to help with the build-out of the site? NOTE: The actual location has not yet been selected.

Painting
Electrical
Plumbing
General construction
No
Other  
10.

Would you be willing to help raise money to aid in opening a new location?

Yes
No
11.

Please share any other comments below.

 

350 characters left.
12.
Please tell us about yourself so we can stay in touch with you and keep you posted on progress and updates.

By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

First Name:
Last Name:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:
Best Phone #:

Thank you for taking the time to complete this survey and for helping us open a GiGi's Playhouse in Annapolis!

The impact of your time, talents and monetary contributions will be found in the future learning labs, art studio, sound stage, and on the sofa of GiGi's Playhouse -- every time a new word is articulated, an equation is solved, a parent supported, and every time courage has an opportunity to grow!

For more information, please contact:
Email:  Annapolis@gigisplayhouse.org
Web:     http://gigisplayhouse.org/annapolis
Facebook:  GiGi's Playhouse Annapolis