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The Secret World of Gases Family Survey
Please use this form to record family responses
Science Centre *
1. a) Do you feel the activities you took part in were fun?
Definitely No
Not Sure
Definitely Yes
Adult
Child 1
Child 2
etc
1. b) Do you feel the activities you took part in were interesting?
Definitely No
Not Sure
Definitely Yes
Adult
Child 1
Child 2
etc
1. c) Do you feel the activities you took part in made you want to find out more about different gases and how they might be used in the future?
Definitely No
Not Sure
Definitely Yes
Adult
Child 1
Child 2
etc
2. (Ask Children) What did you most enjoy about these activities, and why?
Your answer
2. (Ask Adults) What did you most enjoy about these activities, and why?
Your answer
3. (Ask Children) Did anything surprise you?
Your answer
3. (Ask Adults) Did anything surprise you?
Your answer
4. a) Did you feel these activities increased your understanding of gases, and what they are used for?
Not at all
A little
A lot
Adult
Child 1
Child 2
etc
4. b) Did you feel these activities increased your understanding of the different gases that make up the air around us?
Not at all
A little
A lot
Adult
Child 1
Child 2
etc
5. a) Did you feel these activities helped to show you what chemistry is, and what chemists do?
Not at all
A little
A lot
Adult
Child 1
Child 2
etc
5. b) Did you feel these activities helped to show you future jobs in chemistry and gases?
Not at all
A little
A lot
Adult
Child 1
Child 2
etc
6. (Ask Children) Has The Secret World of Gases made you think that a job in chemistry or working with gases might be interesting?
Your answer
6. (Ask Adults) Has The Secret World of Gases made you think that a job in chemistry or working with gases might be interesting?
Your answer
7. (Interviewer to fill in Gender information)
Male
Female
Other
Child 1
Child 2
Child 3
7. Finally, nice and simple, how old are you?
Under 5
5
6
7
8
9
10
11
12
Over 12
Child 1
Child 2
Child 3
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