Wheelchair Skills Group
Monday June 22 6-8pm, Downtown Halifax, Spring Garden RollMonday July 13 6-8pm, Halifax Waterfront RollMonday Aug 17 6-8pm, Dartmouth Waterfront RollDescription: Join us for outdoor wheelchair skills this summer, however you roll (manual wheelchair, power wheelchair, scooter, etc.) We will practice skills, learn from each other, and explore the city. These dates are weather dependent.
Name
*
First Name
Last Name
Email
*
example@example.com
Age (please note, if you are under 18 parents must be present the whole time)
*
Under 18
18-25
25-35
35-45
45-55
55+
Phone Number (if you prefer text)
Please enter a valid phone number.
Format: (000) 000-0000.
Which dates do you plan to attend (July 2025)?
*
Monday June 22 6-8pm, Downtown Halifax, Spring Garden Roll
Monday July 13 6-8pm, Halifax Waterfront Roll
Monday Aug 17 6-8pm, Dartmouth Waterfront Roll
Which wheelchair type are you using?
*
Power wheelchair
Manual wheelchair
Other
How long have you used a wheelchair?
*
1-3 months
3-6 months
6-12 months
1-2 years
3-4 year
5-10 years
10-15 years
20+ years
Will you be bringing a support person? (This is not required, just helps us plan for numbers)
*
Yes
No
Functional Movement (Optional)
The skills group is open to anyone with a variety of function including paraplegics, quadriplegics, neuromuscular conditions, chronic pain, ect. This section is option but if you want to share your general physical movement function it can help us plan for the 1st group session.
Controlled movement in Legs
Please Select
None
Some
Full
N/A
Controlled movement in Hips
Please Select
None
Some
Full
N/A
Controlled movement in Shoulders
Please Select
None
Some
Full
N/A
Controlled movement in Arms
Please Select
None
Some
Full
N/A
Controlled movement in Hands/Grip
Please Select
None
Some
Full
N/A
Skills History
Which skills do you feel confident doing?
*
Rolling forwards & backwards
Rolling over cracks in the side walk
Going down hills
Pushing up hills
Rolling around obstacles
Picking objects up off the ground (while in your chair)
Chair to ground transfer
Ground to chair transfer
Going up a curb
Going down a curb
Going up stairs
Going down stairs
Safely falling backwards
Getting up after falling backwards
Explaining to others how to help you in the community (ex: going down a curb)
Do you have any skills you are interested in learning or practicing?
Submit
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