IPC Questionnaire

1. Athlete Details

 
These details are used to validate your information
All information that you provide in this survey is for use by IPC via the Infostrada Sports databases to make sure the world's media and general public have access to the most accurate and up-to-date information on you and your sport. Your e-mail address is for internal use by IPC and Infostrada Sports to contact you and will not be distributed to any third party.

*
1. Please fill in the following details
*
2. What is your gender
*
3. What is your date of birth
DD MM YYYY
Date of birth
/
/
*
4. What country do you represent and in which sport?
Country you representSport you compete in
Please select from appropriate dropdown
5. Where were you born?
Country
Please select a country then add the city
*
6. What is your contact email address (for internal use only)
7. What is the nature of your impairment?
8. What was the cause of your impairment?
9. Guide details [for visually impaired athletes only]
10. Standing partner details [for wheelchair dancers only]
11. Who referred you to this Questionnaire?
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