July 18, 2014: Clovernook Center for the Blind and Visually Impaired (Form for the Young People) This survey is generated from A Guide to the Study of the Wellbeing Effects of Circus: A Publication of the Centre for Practise as Research in Theatre by the University of Tampere Finland. Answers to open ended questions: I think circus is… a. fun b. fun c. great fun d. great fun e. fun f. great fun What have you particularly liked in circus? a. “the plates” b. “stilts” c. “The tight rope or high rope” d. “spinning the plates” e. “walking the tight rope” f. “balance wire”

What kinds of things do you have more confidence to do? a. “deal with heights” b. “nothing” c. “balancing on different objects” d. “try different things” e. “n/a” f. “nothing in particular, just in general” What kind of skills have you learned in the circus? a. “the Chinese yo-yo” b. “stilts” c. “balancing” d. “how to balance” e. “n/a”

f.

“balance”

Is there anything that bothers you, or something that is difficult in circus? Please explain. a. “no” b. “no” c. “no” d. “balancing is difficult” e. “I don’t know” f. “no” Do you want to continue with circus? a. “No. It’s just not my calling.” b. “I can’t say” c. “Yes. Enjoy balancing on objects.” d. “Yes” e. “I can’t say.” f. “No. Doesn’t want to.” Complete the Sentence: My best memory from the circus is… a. “Walking a whole 14 inches in the air.” b. “Stilts” c. “Walking across the tight wire.” d. “Walking the tightrope” e. “n/a” f. “Walking on th tight rope.”

July 18, 2014. Clovernook Center for the Blind. This survey is generated from A Guide to the Study of the Wellbeing Effects of Circus: A Publication of the Centre for Practise as Research in Theatre by the University of Tampere Finland. Circus has increased the time I spend together with my… My family thinks that circus is a fun thing. My friends have complemnted me on doing well in circus. I am an important part of circus group. I am given attention in circus. We have a good time together in circus. I have learned to listen to th instructor. I have found a new friend in circus.

Strongly Agree

Agree

Circus has taught me skills that are useful in everyday life

Neither Agree nor Disagree

Circus has motivated me to move more.

Disagre

I have learned new skills in circus.

Strongly Disagree

It is fun to be able to move around in circus. It's okay to make mistakes in circus. I have gained more confidence in circus. I have had th confidence to try scary things I have learned to concentrate in circus.

Circus brings me joy Circus is exciting 0

1

2

3

4

5

6

7

Survey for the circus participant's parents, caregivers and schoolteachers Strongly Agree

Agree

Child enjoys him/herself in circus

3

3

Child is excited about circus

2

4

Circus is uplifting

4

2

Circus has improved the child's ability to concentrate

Neither Agree nor Disagree

4

2

1

Circus has encouraged the child to express him/herself

2

3

The child has learned new skills in circus

3

3

Circus has given the child many experiences of success

3

3

Circus has increased the child’s physical activity

4

1

The child's body control has improved

1

3

Disagree

Strongly Disagree

1

2

Circus has strengthened the child's life skills

2

4

The child has a good relationship with the other members in his/her group

2

4

The child fits in well with his/her circus group

4

1

1

The circus group has a good time together in circus

2

3

1

The child has been able to have a say on what is done in circus

2

2

2

The child receives attention in the circus group

4

2

The child receives good feedback in circus

3

2

Our co-operation with the circus instructor has been effortless

3

2

The circus instructor gives clear directions

6

The circus instructor is a good leader for the group

4

The circus group practices tricks that are appropriately difficult

5

The circus group concentrates well

3

1

1

In my opinion, circus is a good hobby for a child/young person

1

4

1

Our family thinks that circus is a great thing

1

2

3

1

2

Our family is interested in the child’s circus activity

1

3

2

Circus has increased the time We spend together as a family

1

1

3

Caring for the child has gotten easier due to the circus activity

2

I have a better idea of the child's abilities due to circus

1

2

3

| have gotten great ideas for the things I can do together with the child

1

1

3

4