Pre-Clinic Student Assessment

Name
First

Last
Email
Phone
Do you require a Rescue PFD for class? Only applies for Common Sense Rescue, Creeking Leadership, and Instructor Courses.
Have you ever had any formal instruction?
If yes, where and how much? If no, how have you learned to get to where you currently are?
How often do you paddle, and for how long?
What rivers do you run regularly?
Do you run all of the main lines/rapids?
Please describe
What is the hardest run you have attemped? And what was the quality of that experience?
Describe your paddling group? What is your role in your paddling group?
Have you taken a swiftwater rescue class? FA/CPR? Have you ever used these kinds of skills?
Please describe any situation where these skills were necessary.
What equipment do you carry with you while paddling?
Be thorough, what will you bring with you to class? What do you need for class?
What skills do you think you excel at? What skills need work?
Rate yourself for each skill below:
Overall river and group awareness 1 being worst, 5 being best overall
Rolling ability
Scouting from shore 1 being worst, 5 being best overall
Scouting from boat 1 being worst, 5 being best overall
Receiving beta 1 being worst, 5 being best overall
Read and run 1 being worst, 5 being best overall
Spotting hazards 1 being worst, 5 being best overall
Ability to see line and execute 1 being worst, 5 being best overall
Catching small eddies 1 being worst, 5 being best overall
Catching powerful eddies 1 being worst, 5 being best overall
Flaring boofs 1 being worst, 5 being best overall
Ledge boofs 1 being worst, 5 being best overall
Water boofing (i.e. waves and holes) 1 being worst, 5 being best overall
Controlling pitch, roll and yaw in kayak 1 being worst, 5 being best overall
Knowledge of strokes 1 being worst, 5 being best overall
Compound strokes 1 being worst, 5 being best overall
Using features 1 being worst, 5 being best overall
Intentional surfing 1 being worst, 5 being best overall
Unintentional surfing 1 being worst, 5 being best overall
Rescue ability
How do you deal with fear and intimidation?
Have you ever gone blank, not remembered?
Describe
What is your biggest fear?
Could be a thought, a rapid, or vulnerability, explain.
What is the biggest cause for you to swim?

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Pre-Clinic Student Assessment

Pre-Clinic Student Assessment

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