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Find an Adventurer/ Adventress
These are volunteers with disabliity like you that have experience with the organizations that you would like to get active with.
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Name
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Your answer
Email
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Your answer
Address with City and State.
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Your answer
Phone number
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Your answer
Best time to call/text
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Morning
Afternoon
Evening
Anytime
Other:
Required
What is the level of your Spinal Cord Injury or disability
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Your answer
How often do you leave your house and what for?
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Your answer
What stops you from leaving your house more often?
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Your answer
Do you have a reliable sorce of transportation?
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Yes
No
Other:
What activities are you interested in participating in?
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Dare2tri- learn to swim, Run/Pushcart and or cycle/handcycle
Dive heart - Scuba diving
Adaptive adventures- Rock climbing, skiing, camping, handcycling
Next Steps Chicago- Fitness classes and aerobics.
Shirley Ryan Ability Lab- Adaptive sports- Wheelchair Rugby, wheelchair basketball, boccia, Golf, Sled Hockey, wheelchair softball, and sailing.
Other:
What will be some of your challenges in attending these different active events?
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Your answer
How can project awaken support you in getting active in your community?
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Your answer
Would you like a peer mentor that is already partcipating in one of your interested activities to contact you?
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Yes- As soon as possible
No because I'm not sure what I'm interested in yet
Other:
Would you like to set up a time to attend an active event with a peer mentor?
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Yes- As soon as possible
Not at this time
Maybe but I need to work out some details.
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