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Buddy/Caregiver Post-Session Form
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Bike Buddy Program
Bike Buddy Forms
Buddy/Caregiver Post-Session Form
Buddy/Caregiver Post-Session Form
admin
2024-09-01T16:17:26-04:00
Post-Session Buddy/Caregiver Form
Name
(Required)
First
Last
Phone
(Required)
Email
(Required)
What drew you to participating in this program today? Select all that apply.
Physical activity
Being outdoors
Being with family/ friends
Psychological benefit
If there is another reason that drew you to participating, please specify here:
I feel confident assisting the rider safely onto the bike.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
I feel confident assisting the rider with set up and positioning on the bike.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
I feel confident assisting the rider with terrain negotiation on the trail.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
I feel confident assisting the rider safely off the bike.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
I feel confident engaging in this activity without supervision or assistance personnel.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
I would benefit from an additional Bike Buddy session to improve my confidence with this activity.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
I would recommend this program to others interested in utilizing the Lackawanna Heritage Valley trail system.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
If you have any additional relevant comments, please provide them here:
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