Please fill out this form if you have attended a session at the Poole Inclusive Paddleboarding Experience

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Name *

First

Last

Date dd/mm/2024

Paddleboarding session number

• Session 1
• Session 2
• Session 3
• Session 4
• Session 5

I’ve been feeling optimistic about the future (Please tick the box that best describes your thoughts and feelings)

• None of the time
• Rarely
• Some of the time
• Often
• All of the time

I’ve been feeling useful

• None of the time
• Rarely
• Some of the time
• Often
• All of the time

I’ve been feeling relaxed

• None of the time
• Rarely
• Some of the time
• Often
• All of the time

I’ve been feeling interested in other people

• None of the time
• Rarely
• Some of the time
• Often
• All of the time

I’ve had energy to spare

• None of the time
• Rarely
• Some of the time
• Often
• All of the time

I’ve been dealing with problems well

• None of the time
• Rarely
• Some of the time
• Often
• All of the time

I’ve been thinking clearly

• None of the time
• Rarely
• Some of the time
• Often
• All of the time

I’ve been feeling good about myself

• None of the time
• Rarely
• Some of the time
• Often
• All of the time

I’ve been feeling close to other people

• None of the time
• Rarely
• Some of the time
• Often
• All of the time

I’ve been feeling confident

• None of the time
• Rarely
• Some of the time
• Often
• All of the time

I’ve been able to make up my own mind about things

• None of the time
• Rarely
• Some of the time
• Often
• All of the time

I’ve been feeling loved

• None of the time
• Rarely
• Some of the time
• Often
• All of the time

I’ve been interested in new things

• None of the time
• Rarely
• Some of the time
• Often
• All of the time

I’ve been feeling cheerful

• None of the time
• Rarely
• Some of the time
• Often
• All of the time

In the last 7 days, how long in minutes, have you spent taking part in physical activities that take moderate physical effort which was enough to raise your breathing rate? e.g. brisk walking, gardening, leisure activities or sports.

• 0 – 29 minutes
• 30 – 59 minutes
• 60 – 149 minutes
• 150 minutes or more

How would you describe your paddleboarding experience to date?

Which aspects of your paddleboarding experience have you enjoyed the MOST?

Which aspects of your paddleboarding experience have you enjoyed the LEAST?

How could your paddleboarding sessions be improved?

Would you recommend people with a similar situation to you, try paddleboarding?

• Yes
• No

Submit