Community Activity Initiative 

Community-based activity for Spinal Cord Injury (SCI).

The survey is confidential, and will remain anonymous. No personally identifying demographic data is collected, and you won't contacted by anyone regarding your responses.

When completing the survey data, please tick the applicable questions and respond with written text where prompted.
1.Are you a self-propelled wheelchair user?(Required.)
2.Which one of the following conditions best describes the reason for your wheelchair use?(Required.)
3.What age group do you belong to?(Required.)
4.What is your gender?(Required.)
5.What is your ethnic group(Required.)
6.Which borough/district do you live in?(Required.)
7.Do you currently engage in community activities?(Required.)
8.Are you interested in gaining a new hobby or skill?(Required.)
9.Would you be interested in the following community activities if they were available?(Required.)
10.What is the maximum distance will you travel to engage in a community activity?(Required.)
Current Progress,
0 of 10 answered