Minecraft With Friends Questionnaire
Thank you for your interest in Minecraft With Friends!
Seattle Play Therapy is excited to introduce a new virtual environment for children to work on positive social skills and coping using Minecraft. Over the course of 8 weeks, a small team of Minecraft aficionados will make meaningful connections with peers. Each session is guided by a child therapist and an undergraduate psychology intern. To apply, please fill out the form below and we will review these forms and get back to you with next steps!
Child's Name
*
First Name
Last Name
Caregiver Name
*
First Name
Last Name
Caregiver Contact Email
*
example@example.com
Caregiver Phone Number
Please enter a valid phone number.
How old is your child?
*
What pronouns does your child use?
How long have they been playing Minecraft?
Besides Minecraft, what are their interests?
Do you have any social or behavioral concerns for your child? If so, what are they? (Example: "my child sometimes struggles to communicate when they are frustrated")
Does your child have access to...
Yes
No
A computer?
A computer located in a quiet space?
Minecraft: Java Edition (not Bedrock)?
Do you have any concerns about your child navigating technology on their own?
Is there anything else you would like us to know?
Submit
Should be Empty: