Name: __________________________________________________Date: ___________
Name of the Park or Playground you visited: ___________________________________
Play Value
Circle all of the activities you were able to do in the park or playground you visited.
Activity
Playing on play equipment
Running on blacktop
Running and playing on grass
Lying and rolling on grass
Ball games (which ones?) __________________________________________________
Jumping
Climbing
Sliding
Jump rope
Hop scotch
Talking
Screaming
Laughing
Sitting quietly
Writing
Digging
Planting
Playing with water
Eating
Board games (which ones? _________________________________________________
Climbing wall/rock climbing
Theatre activities
Films (seeing them, showing them)
Cultural activities (which ones?)_____________________________________________
Add more activities you were able to do in the place you visited:
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Please rate the Play Value of this place (circle one)
Excellent Good Fair Bad Terrible
Why did you give the place this Play Value?