Name *Email Address *Organisation / Club Name *Street Address *City *State/Province *Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemen Arab Rep.Yemen DemocraticZambiaZimbabweWebsite *Upload your club logoChoose FileNo file chosenDelete uploaded fileNumber of clubs / facilities *Are you and IHRSA member?YesNoNumber of staff *Types of activities on offer *Personal TrainingSGPT (Small Group Personal Training)Group Exercise ClassesGym SessionsAquatic ProgrammesAquatic Rehabilitation ProgrammesSpa-WellnessWalkingCycling outdoorsActive PlayMartial ArtsDanceOther Indoor SportsArtificial PitchesGolfNumber of users / members *Number of members with disabilitiesI/my colleagues have researched the scope for increasing the participation of the broader community, in particular people with disabilities and chronic conditions *Please select an optionYesNoIf yes, please provide some detailsI know of disability service providers that I could link with in the local community *Please select an optionYesNoIf yes, please provide some detailsDo you communicate your inclusive philosophy to your customers and staff? *Please select an optionYesNoI have not considered thisIf yes, please provide some detailsDo you have a predisposition to develop resources in order offer a more universal service? *Please select an optionYesNoI have not considered thisIf yes, please provide some detailsDo you have a strategic plan or management document that ensures the participation of people with disabilities? *Please select an optionYesNoI have not considered thisIf yes, please provide some detailsDo you have consultative mechanisms with your members? *Please select an optionYesNoI have not considered thisIf yes, please provide some detailsDo you have any policy that safeguards the principle of inclusive access? *Please select an optionYes – I have specific policies for people with disabilities. Yes – I have specific policies for other specific groups (children, retired, etc.) No – I do not need specific policies because we only have inclusive policies. I have not considered this If yes, please provide some detailsIs there any mechanism to integrate feedback in the policy-making process? *Please select an optionYesNoI have not considered thisIf yes, please provide some detailsDo you assess and meet the training needs of your staff? *Please select an optionYesNoI have not considered thisIf yes, please provide some detailsWould you consider your club as customer focused? *Please select an optionYesNoI have not considered thisIf yes, please provide some detailsDo you employ any individuals with disabilities? *Please select an optionYesNoI have not considered thisIf yes, please provide some detailsHave you or any of your staff / volunteers had training that facilitates the inclusion of people with disabilities? *Operational (teaching / instructional )ManagementFront of houseContracted staffNoIs there a member of staff allocated as a liaison/point person for customers with disabilities? *Please select an optionYesNoHave you established relationships with universities? *Please select an optionYesNoIf yes, please provide some details. Have you established relationships with Governments (national and local)? Please provide details. *Please select an optionYesNoIf yes, please provide some detailsHow is your club perceived by your members and stakeholders? *Please select an optionPositiveNegativeI do not knowPlease justify your answerHow is your club perceived by your members with disabilities? *Please select an optionPositiveNegativeI do not knowPlease justify your answerHas an access audit been completed on your club? *Please select an optionYesNoI do not knowDoes your facility or the facility you use consider the following disabilities when evaluating accessibility and usability? *Physical disabilitiesIntellectual disabilitiesSensory disabilitiesMental health impairmentsNoneYou may select more than one answerWould a client be able to move and participate autonomously in any activity that you offer? *Please select an optionYesNoI do not knowDo you actively promote your club to cater for people with disabilities in fitness opportunities? *Please select an optionYesNoNot neededPlease justify your answerCan you highlight any promotional events that were specifically successful? *Please select an optionYesNoI do not knowPlease provide more detailsAre people with disabilities depicted in any of your promotional materials (brochure, website, videos…)? *Please select an optionYesNoI do not knowPlease provide more detailsAre your programmes designed according to the UniversAbility principle? *Please select an optionYesNoI do not knowThis means, any member can be accommodated regardless of their level of ability, age, gender or impairmentDo you deliver any program specific for people with disabilities? *Please select an optionYes – I deliver integrated and segregated programmes for members with disabilities Yes – I deliver only segregated programmes for members with disabilities No – It is not needed because all our programmes are universally-designedNoI do not knowHow many programmes are available in your club weekly? How many of these programmes are ready to welcome a member with a disability?Is there any involvement of people with disabilities in the design or delivery of the programs you have on offer to people with disabilities? *Please select an optionYesNoI did not consider itDo you monitor the number of members with disabilities in your club? *Please select an optionYesNoI did not consider itPlease provide more detailsPlease indicate actions undertaken in the last 2 years to make your club more inclusive for people with disabilities Please share any other relevant information for this applicationPlease share any other relevant information for this applicationChoose FileNo file chosenDelete uploaded file Send Message
