SURVEY FORM (
) Tick the most relevant answer at the box below.
1. Gender: Male Female 2. Occupation: Businessman Accountant Doctor Others: _____________________________________________________ 3. Race: Malay Chinese Indian Others: _____________________________________________________ 4. Number of children(s): 1 2 3 Others: _____________________________________________________ 5. Income range: Below RM 2,999 RM 3,000 - RM 4,999 Above RM 5,000 6. Have you ever owned a LEGO速 set? Yes No, why? ___________________________________________________ 7. What do you think of the price of LEGO速? Very expensive Expensive Undecided Affordable Cheap Very cheap
8. Where did you first hear about LEGO®? From friends From family From magazines From internet Others: _____________________________________________________ 9. How long does your typical toy last? (excluding LEGO®) Less than 1 year 1 years to 2 years More than 2 years Others: ________________________________________(months/years) 10. Which LEGO® themes is/are your favourite? (You may pick more than 1 answer) Star Wars Duplo Batman Simpsons Indiana Jones Friends None Others: _____________________________________________________ 11. Does your child prefer playing online games or playing with LEGO® bricks? Online games LEGO® bricks Others: ______________________________________________________ 12. How long does your child spend his / her time online in a day? Less than 1 hour 1 hour to 2 hours More than 2 hours Others:______________________________________________________ 13. Do you think LEGO® is still a hit among children nowadays with digital media everywhere? Yes No Maybe 14. Do you think playing with LEGO® will benefit your child? Yes No, why? ___________________________________________________ Maybe, why? ________________________________________________
15. How do you think playing with LEGO速 will benefit your children? (You may pick more than 1 answer) Improves creativity Improves problem solving skills Improves parent-children relationship Improves motor skills Improves literacy as children deal with instructions Others: _____________________________________________________ 16. How often does your child play with LEGO速? Daily At least twice per week At least twice per month Others: _____________________________________________________ 17. How long do you spend your time playing with your children per day? Less than 30 minutes 31 minutes - 1 hour 1 hour - 2 hours More than 2 hours Others: _____________________________________________________ 18. Do you think playing Lego together with your children will strengthen your relationship? Strongly agree Agree Undecided Disagree Strongly disagree 19. Do you agree that many children (within age 5-12) feel that parents do not spend enough time with them? Strongly agree Agree Undecided Disagree Strongly disagree
20. Do you agree that children (age 5-12) want to spend more quality time with their parents? Strongly agree Agree Undecided Disagree Strongly disagree 21. Have you ever heard of LEGO® Therapy? Yes No Not sure 22. Do you know that LEGO® Therapy uses LEGO® bricks to help children with autism and mental disabilities to improve social skills? Yes No Not sure 23. Do you know that LEGO® Therapy also teaches and provides guidance on how to approach and play with your child? Yes No Not sure 24. Now that you have heard about LEGO® Therapy, would you recommend LEGO bricks to someone whom you think it is useful? Yes No Maybe 25. Now that you know how beneficial LEGO® bricks are, would you buy it for your child in the future? Yes No Maybe