Activity No Very Support Comments Support slowly Please comment Walking In & out of Car In & out of Mini Bus steps On & off Coach Steps Other There will be more walking on the holiday outings than you normally do, we are usually out all day. Please bear this in mind as you do not want to slow the group down and spoil the enjoyment of your holiday. Please bring any mobility aids with you on your holiday. Staff are not allowed to an arm’ ‘lend other than for very short distances. That is what aids are for! Activity never Will require one during All the Bring own or wish the days excursion time to hire? when out and Do you use a Wheelchair/scooter Do you use a Walking aid Please provide weight & measurements of wheelchair/ scooter /walking aid Activity No Mostly Will try Not at all Comments Support ok Uneven Terrains Activity No Support* With mechanical Comments Support aids* In and out of Bed No With rail Support* Lift/stair lift* Comments Support Stair/Steps *Staff are not allowed to lift or carry. Please indicate what support/aids you currently use: Section B: Personal Care Personal care costs are not included as part of the holiday if you have any personal care needs you will be charged extra according to your needs. Please take into account that Options stay in regular hotels and the rooms and bathrooms may not have the adaptations you have at home. I have no personal care requirements If ticked please go to Section C I have no personal care requirements provided I have only a small step (up to 5cm) into my shower I have no personal care requirements provided I have a walk in shower with disabled facilities I will require a walk in shower with disabled facilities
Activity No Support Very slowly Support Please comment Comments Walking In & out of Car In & out of Mini Bus steps On & off Coach Steps Other There will be more walking on the holiday outings than you normally do, we are usually out all day. Please bear this in mind as you do not want to slow the group down and spoil the enjoyment of your holiday. Please bring any mobility aids with you on your holiday. Staff are not allowed to ‘lend an arm’ other than for very short distances. That is what aids are for! Activity never Will require one during the days excursion when out and All the time Bring own or wish to hire? Do you use a Wheelchair/scooter Do you use a Walking aid Please provide weight & measurements of wheelchair/ scooter /walking aid Activity No Support Mostly ok Will try Not at all Comments Uneven Terrains Activity No Support Support* With mechanical aids* Comments In and out of Bed No Support With rail Support* Lift/stair lift* Comments Stair/Steps *Staff are not allowed to lift or carry. Please indicate what support/aids you currently use: Section B: Personal Care Personal care costs are not included as part of the holiday if you have any personal care needs you will be charged extra according to your needs. Please take into account that Options stay in regular hotels and the rooms and bathrooms may not have the adaptations you have at home. I have no personal care requirements If ticked please go to Section C I have no personal care requirements provided I have only a small step (up to 5cm) into my shower I have no personal care requirements provided I have a walk in shower with disabled facilities I will require a walk in shower with disabled facilities