Your Name

Rider Name

Location

Your e-mail

Is the rider comfortable in the water swimming and making it through the waves with their surf equipment? (eg. Does this person need a life jacket or other safety equipment?)

What type and size equipment of equipment did the rider feel most comfortable with?

Based on your experience as a surfer, what size and type of equipment do you recommend for this rider to achieve surf therapy right now? Remember, we aren’t looking for a board that they “could” be riding in 6 months or a year but right now.

Overall summary of how the session went or other comments

DO NOT TELL THE RIDER HOW THEY DID AND WHAT YOU PLAN TO RECOMMEND, SIMPLY LET THEM KNOW YOU HAD A GREAT TIME AND “ROB OR KYLE WILL REACH OUT TO YOU ABOUT THE WAY AHEAD."