The Fitness Council of Jackson, disAbility Connections, and community partners are investigating the exciting possibility of starting a Sports and Recreation Club and/or Disabled Sports USA (DSUSA) Chapter in the Mid-Michigan area. DSUSA’s mission is “to provide the opportunity for individuals with physical disabilities to gain confidence and dignity through participation in sports, recreation, and related educational programs.” DSUSA chapters are nationwide with members participating in events from downhill skiing to basketball.

 In order to start a club in the Jackson area we need to know what types of activities would interest you the most. Please complete the short survey below:

What types of sports are you interesting in participating in with others? All those listed below are official Paralympic sports. (Check all that apply)
Archery                                    Baseball                          Basketball
Boccia                                      Bowling                           Curling
Cycling                                     Equestrian                       Fencing
Goalball                                     Judo/Martial Arts              Powerlifting
Pool/Billards                               Rowing                            Rugby (Murderball)
Sailing                                      Shooting                          Skiing (downhill)
Skiing (cross-country)                 Sled hockey                      Skating
Soccer                                      Softball                           Swimming
Table Tennis                              Tennis                             Track and Field
 Volleyball                                   Walking                        Other

What types of recreation activities are you interested in? (Check all that apply)
Crafts        Cooking Classes           Dances
Art Classes Health Classes             Trips (Football games, hockey games, parades, concerts, etc.)
Cards         Darts                         Other
Games        Billiards
 

If a club was started how often would you like to participate in the above activities?
Once a month
 Once a week
 Two-three times a week

Would you be willing to pay to participate in the club?
No
Yes, $20 a year
Yes, $10-20 a year
Yes, less than $10 a year

Do you feel you are currently getting enough physical activity?
Yes
No

Do you feel you enough social outlets?
Yes
No

If you answered "no" to 5 or 6, what are the biggest barriers? (check all that apply)
 Finding other people to participate with me
Lack of facilities to have sports or recreation events
Gyms in the area aren’t accessible
Cost is too high
Transportation to facilities is difficult
Other  

Would you be willing serve on a committee or volunteer to help plan sports and recreation activities?
Yes, Please contact me.
No.

Do you have any thoughts you’d like to share about starting a sports and recreation club in the Jackson area? We’d love to hear any suggestions!

Please supply your name and contact information so we can get in touch with you in the future when the program begins. Your name will not be connected to your answers to the questions above.

Name

Phone 

Email 

Address 

 Thank you for taking the time to complete this survey!