* 1. What is your gender?

* 2. What age group are you?

* 3. What watersports do you participate in? Check all that apply.

* 4. What type of water do you participate on? Check all that apply.

* 5. If you participate in different water sports do you use a different life jacket or flotation aid?

* 6. Do you compete in your sport?

* 7. Does your sport have a classification system?

* 8. If yes, what classification rating are you at the present time?

* 9. What is your disability?

* 10. Are you able to swim without a life jacket or flotation aid?

* 11. Are you required to wear a life jacket while competing?

* 12. Are you required to wear a life jacket when NOT competing?

* 13. What brand and model of life jacket do you currently wear? Check all that apply.

* 14. Does your life jacket have crotch/thigh straps?

* 15. Do you have any problems (e.g., fit, comfort, etc) with your current life jacket? If so please describe.

* 16. Are inflatable life jackets permitted in your sport?

* 17. If answered yes to question 16, are "belt pack" style inflatable buoyancy aids permitted?

* 18. Have you had to be rescued wearing your current life jacket?

* 19. If yes, describe or outline the rescue situation.

* 20. Did the life jacket help or hinder the rescue?

* 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?

* 22. Have you ever fallen in the water with your current life jacket?

* 23. If so, did you:

* 24. Would you be willing to participate in an in-water testing session of life jackets?

* 25. If you answered yes in Question 24, please give your name, what state you reside in, e-mail address and phone number.

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