Life Jacket Survey Question Title * 1. What is your gender? Male Female Question Title * 2. What age group are you? Under 18 years of age Age 19-30 Age 31-50 Over age 51 Question Title * 3. What watersports do you participate in? Check all that apply. Canoeing Kayaking Stand-up Paddle Boarding Rowing Sailing Swimming Other (please specify) Question Title * 4. What type of water do you participate on? Check all that apply. Fresh Water Salt Water Lake Pond Moving Water Rivers Whitewater Rivers Ocean Other (please specify) Question Title * 5. If you participate in different water sports do you use a different life jacket or flotation aid? Yes No Question Title * 6. Do you compete in your sport? Recreationally at local races Nationally Internationally Do not race Question Title * 7. Does your sport have a classification system? Yes No Do not know Question Title * 8. If yes, what classification rating are you at the present time? Question Title * 9. What is your disability? Question Title * 10. Are you able to swim without a life jacket or flotation aid? Yes No Question Title * 11. Are you required to wear a life jacket while competing? Yes No Question Title * 12. Are you required to wear a life jacket when NOT competing? Yes No Question Title * 13. What brand and model of life jacket do you currently wear? Check all that apply. Inflatable-Self Inflatable-Automatic Non-Inflatable Coast Guard Approved Brand Name (please specify) type, brand and sport. Question Title * 14. Does your life jacket have crotch/thigh straps? Yes No Question Title * 15. Do you have any problems (e.g., fit, comfort, etc) with your current life jacket? If so please describe. Question Title * 16. Are inflatable life jackets permitted in your sport? Yes No Question Title * 17. If answered yes to question 16, are "belt pack" style inflatable buoyancy aids permitted? Yes No N/A Question Title * 18. Have you had to be rescued wearing your current life jacket? Yes No Question Title * 19. If yes, describe or outline the rescue situation. Question Title * 20. Did the life jacket help or hinder the rescue? Help Hinder Question Title * 21. Would you make any changes or improvements to your current life jacket to make it fit/work better taking into consideration any aspects of your disability? Suggestions for fit Suggestions for working better Other Question Title * 22. Have you ever fallen in the water with your current life jacket? Yes No Question Title * 23. If so, did you: Immediately float face up in the water Did it take some effort to turn yourself to a face-up position Were you unable to turn yourself to a face-up position Other (please specify) Question Title * 24. Would you be willing to participate in an in-water testing session of life jackets? Yes No Question Title * 25. If you answered yes in Question 24, please give your name, what state you reside in, e-mail address and phone number. Done