Spina Bifida Questionnaire

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Spina Bifida Questionnaire

  1. 1. Product evaluation questionnaire: A little information about me and the project: My name is Jonathan O Toole and I am designing a Device to help infants with Spina bifida, Down syndrome and cerebral palsy aged 12 to 24 months to walk at an earlier stage of development. This product would be used in your home and would be given to you by your child’s physiotherapist. This questionnaire is to help me design the product with the infant’s parents in mind. The questionnaire is divided into two sections the first is general information about you and your child the second section are questions related to the product. Thank you in advance for your time and help. Section 1) General information about you and your child: 1) Please indicate how old you are, 20-30 30-40 50+ 2) How old is your child now, 0-12 months 12-24 months 24-36 months 36 months + 3) Please select out of the list below the people who would be in charge or mind your child on a regular basis, (You may select more then one) Direct family members such as a son, daughter, partner Your Mother or Father Your sisters or brothers Your aunt or uncle Your cousins An external individual such as a baby sitter Other Jonathan O Toole, Product Design & Technology, University Limerick Ph: 086-3601236 Email: 0650935@studentmail.ul.ie
  2. 2. 4) Which one of these Spina bifida types relates to your child, Spina Bifida Occulta Meningocele / Myelomeningocele Chiari Malformation Encephalocele Anencephaly 5) Does your child suffer from hydrocephalus, Yes No Section 2) Product information and feedback: 1) Do you or have you ever used products to help your child’s balance, walking patterns or posture. (Such as Physio Ball, Wobbling Board, Physio Roll, etc) Yes No If yes then what product: 2) Would you be happy to use a product to help your child at the home in your own time, Yes No 3) There are products on the market to help children to walk at an earlier stage of development; these products usually take the form of a slow running treadmill. What do you think of this, do you think it’s a good idea or bad idea and why? Jonathan O Toole, Product Design & Technology, University Limerick Ph: 086-3601236 Email: 0650935@studentmail.ul.ie
  3. 3. 4) Would you have a problem with your child being held in a harness for safety, Yes No If you want to add a reason for your answer please do: 5) Below are two pictures please pick the one you think would be the best product and give reasons for your answer, Product #1 Product #2 Reasons for you choice (please give as much information as possible both negative and positive): 6) Do you think having a product to use at the home would benefit you and your child or have a negative impact and why, Jonathan O Toole, Product Design & Technology, University Limerick Ph: 086-3601236 Email: 0650935@studentmail.ul.ie
  4. 4. 7) Can you please number these statements 1-5 in important for a product for you child, 1 being not important and 5 being very important, The product must be extremely safe The product must be fun for both me and the child The product must tell me if my child is doing well The product must be very beneficial to my child The product must look nice in my house Thank you for your time. Some time in the New Year I would like to run a focus group with some parent. At this focus group I will have my main concepts, some videos & pictures and test models for viewing. I would like to get as many parents involved in this stage to insure the best product for future infants. This will be a focus group to find out the true wants and needs of the parents. If you think you would be interested in attending please fill in your contact details. I will email or ring 3-4 weeks in advance and it will be held in the Mid-Western Spina Bifida Clinic, Ballysimion road, Limerick it should take between half an hour to an hour. Name: Age of your child now: Phone Number: Or Email: Is there a day in the week that would suit best? Jonathan O Toole, Product Design & Technology, University Limerick Ph: 086-3601236 Email: 0650935@studentmail.ul.ie

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