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Home
About
Our Team
Mission and Vision
Programs
Day at the Beach
Wounded Warrior
Adaptive Surfing Clinic
Adaptive Swim Clinic
Canoe Day
Fitness Videos
Talk Story Tuesday Videos
Media
Sponsors
Testimonials
2022 Annual Report
Get Involved
Donate
Online Training Manual
Participant
Volunteer
Events
Upcoming Events
Events Calendar
2023 Hawai’i Adaptive Surfing Championships
2022 HASC Competition Photos
2022 AASP World Title Results
News
Contact
Map
Donate
Shop
Observation Questionnaire Paddling
Observation Questionnaire Paddling
Volunteer Name(s):
*
AccesSurfer Name:
*
Date of Most Recent Activity: (Referred to as: "Today" in fields below)
*
How long has the AccesSurfer been surfing with AccesSurf? month/year (if known)
How many times have you worked with the AccesSurfer? (estimate)
What type of watercraft did the AccesSurfer use to paddle?
Kayak
Stand Up Paddleboard (SUP)
Prone Paddleboard
OC6
OC4
OC2
OC1
Other
What type of watercraft did the AccesSurfer use to paddle?
1. Where did you and the AccesSurfer paddle?
When they first joined AccesSurf:
White Plains Beach AccesSurf Day at the Beach
Other
Other
Today:
White Plains Beach AccesSurf Day at the Beach
Other
Other
2. How was the access to the water?
When they first joined AccesSurf:
Beginner
Intermediate
Advanced
Today:
Beginner
Intermediate
Advanced
3. How were the environmental conditions? (Water, wind, current, waves, crowds):
When they first joined AccesSurf:
Beginner
Intermediate
Advanced
Today:
Beginner
Intermediate
Advanced
4. What is the paddling style of the AccesSurfer?
When they first joined AccesSurf:
Prone (on their stomach)
Sitting
Kneeling
Standing
Other
Other
Today:
Prone (on their stomach)
Sitting
Kneeling
Standing
Other
Other
5. How much assistance in the water did the AccesSurfer need?
When they first joined AccesSurf:
Independent (paddling on their own with minimal assistance in the water)
Assisted (paddling on their own with instructor close by for assistance)
Dependent (paddling tandem with an instructor)
Today:
Independent (paddling on their own with minimal assistance in the water)
Assisted (paddling on their own with instructor close by for assistance)
Dependent (paddling tandem with an instructor)
6. How does the AccesSurfer access the water?
When they first joined AccesSurf:
Walking unassisted
Walking assisted
Crawling
Beach Wheel-Chair
Carried (fireman's, princess, backpack, etc.)
Assisted Device
Other
Other
Today:
Walking unassisted
Walking assisted
Crawling
Beach Wheel-Chair
Carried (fireman's, princess, backpack, etc.)
Assisted Device
Other
Other
Comfort Level Scale
Very Uncomfortable
Uncomfortable
Neutral (OK, Alright)
Comfortable
Very Comfortable
1
2
3
4
5
7. How comfortable is the AccesSurfer talking to new people at AccesSurf?
When they first joined AccesSurf:
1
2
3
4
5
Today:
1
2
3
4
5
8. How comfortable is the AccesSurfer in their watercraft?
When they first joined AccesSurf:
1
2
3
4
5
Today:
1
2
3
4
5
9. How comfortable is the AccesSurfer in the water (in their watercraft)?
When they first joined AccesSurf:
1
2
3
4
5
Today:
1
2
3
4
5
10. How comfortable is the AccesSurfer when falling or flipping in the water?
When they first joined AccesSurf:
1
2
3
4
5
Today:
1
2
3
4
5
Level of Communication and Dependency
Never Paddled
Beginner
Intermediate
Advanced
Skilled
Expert
1
2
3
4
5
6
11. How does the AccesSurfer prepare for surfing? (sun protection, hydration, equipment, meds, leash, leg straps, paddle, etc.)
When they first joined AccesSurf:
1
2
3
4
5
6
Today:
1
2
3
4
5
6
12. How does the AccesSurfer choose the path to enter the water?
When they first joined AccesSurf:
1
2
3
4
5
6
Today:
1
2
3
4
5
6
13. How is the AccesSurfer's paddle technique? (pace, timing, etc.)
When they first joined AccesSurf:
1
2
3
4
5
6
Today:
1
2
3
4
5
6
Skip to #17 if AccesSurfer is not surfing with their watercraft.
14. How does the AccesSurfer select surfable waves?
When they first joined AccesSurf:
1
2
3
4
5
6
Today:
1
2
3
4
5
6
15. How does the AccesSurfer catch waves?
When they first joined AccesSurf:
1
2
3
4
5
6
Today:
1
2
3
4
5
6
16. How does the AccesSurfer ride waves?
When they first joined AccesSurf:
1
2
3
4
5
6
Today:
1
2
3
4
5
6
17. How does the AccesSurfer recover after flipping?
When they first joined AccesSurf:
1
2
3
4
5
6
Today:
1
2
3
4
5
6
18. How does the AccesSurfer balance in their watercraft?
When they first joined AccesSurf:
1
2
3
4
5
6
Today:
1
2
3
4
5
6
19. How does the AccesSurfer maneuver/turn in their watercraft?
When they first joined AccesSurf:
1
2
3
4
5
6
Today:
1
2
3
4
5
6
Level of Intensity
Low
Medium
High
1
2
3
20. What level of intensity was the paddling session?
When they first joined AccesSurf:
1
2
3
Today:
1
2
3
21. How long can the AccesSurfer endure a paddling session at the intensity stated in question #20?
When they first joined AccesSurf:
less than 20 minutes
20 minutes
30 minutes
40 minutes
50 minutes
1 hour
Today:
less than 20 minutes
20 minutes
30 minutes
40 minutes
50 minutes
1 hour
Community Integration Scale
Always Disagree
Sometimes Disagree
Neutral
Sometimes Agree
Always Agree
1
2
3
4
5
22. The AccesSurfer knows a number of people in AccesSurf to initiate a greeting and a receive a greeting in return.
When they first joined AccesSurf:
1
2
3
4
5
Today:
1
2
3
4
5
23. The AccesSurfer has developed a support system at AccesSurf events.
When they first joined AccesSurf:
1
2
3
4
5
Today:
1
2
3
4
5
24. The AccesSurfer is able to access new locations in the community.
When they first joined AccesSurf:
1
2
3
4
5
Today:
1
2
3
4
5
25. Does the AccesSurfer participate in water activities outside of AccesSurf events and how often?
When they first joined AccesSurf:
None
Only AccesSurf Events
Once a month
Twice a month
Once a week
More than once a week
Today:
None
Only AccesSurf Events
Once a month
Twice a month
Once a week
More than once a week
Do you recall any other changes/improvements you've observed since working with this AccesSurfer?
Comments:
Thank you very much!
If you are human, leave this field blank.
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