Observation Questionnaire

1. How did the AccesSurfer surf?

When they first joined AccesSurf:
Today:

2. How much assistance did the AccesSurfer need?

When they first joined AccesSurf:
Today:

3. How does the AccesSurfer access the water?

When they first joined AccesSurf:
Today:

Comfort Level Scale

Not comfortable <-----------------> Very comfortable
1--------2--------3--------4--------5--------6

4. How comfortable is the AccesSurfer entering the water?

5. How comfortable is the AccesSurfer in the water (on a surfboard)?

6. How comfortable is the AccesSurfer when falling or wiping out?

7. How comfortable is the AccesSurfer talking to new people at AccesSurf?

Level of Communication and Dependency

Totally Dependent Max Assist Min Assist Verbal Assist Self Direct Totally Independent
1 2 3 4 5 6

8. How does the AccesSurfer direct volunteers during transfers?

9. How does the AccesSurfer direct needs and wants during surfing activities?

10. How does the AccesSurfer communicate the selection of waves?

11. How does the AccesSurfer direct the process of getting ready and cleaning up after surfing?

12. How does the AccesSurfer meet their personal preparation needs? (sun protection, hydration, equipment, etc.)

13. How does the AccesSurfer get their safety equipment on?

14. How does the AccesSurfer communicate the water entry?

15. How does the AccesSurfer prepare to surf? (getting on the board, attaching the leash, etc.)

16. How does the AccesSurfer paddle out to surf?

17. How does the AccesSurfer catch waves?

18. How does the AccesSurfer ride waves?

19. How does the AccesSurfer recover after wiping out?

20. How does the AccesSurfer manage underwater situations?

21. How long can the AccesSurfer surf?

When they first joined AccesSurf:
Today:

Community Integration Scale

Not Well <-----> Very Well
1----2----3----4----5----6

22. How does the AccesSurfer develop their support system at AccesSurf?

23. How does the AccesSurfer manage developing relationships outside of AccesSurf?

24. Does the AccesSurfer surf outside of AccesSurf events and how often?

When they first joined AccesSurf:
Today:

Thank you very much!