Athlete & Unified Partner Get to Know Me Form

Athlete & Unified Partner Get To Know Me Form

Athletes and Unified Partners should fill out this form with as much detail as possible as this will help their coaches get to know them better.

When this form was completed:
Date
My details:
What my name is
What I like to be called
Who I live with
E.g. I live with my family / I live on my own with daily support.
Things which you must know about me:
What language I speak and how best to communicate with me
E.g. You must make eye contact with me when you speak as I am slightly deaf / I use sign language / I understand Makaton.
How I move around and the support I need with this
E.g. I have limited mobility but only need help with stairs / I use a wheelchair all the time.
What time I normally go to bed
My night time routine / sleeping habits and the support I need with this
E.g. I need a nightlight / I like to have a drink of water by my bed / I sleepwalk / I find it hard to wake up in the mornings / I need rails to stop me falling out of bed / I wear pads as I sometimes wet the bed.
How to know if I am in pain and what support I need to deal with this
E.g. I often get stomach aches but a hot water bottle normally helps me feel better.
How to know if I am anxious / upset and what support I need to deal with this
E.g. I get nervous in new places but being around friends will help me deal with this.
The support I may need if I am missing home and upset / sad
E.g. Please let me make regular calls home / remind me to look at my family photos.
How to cheer me up when I am down
E.g. Remind me about my dog.
My normal bathing routine / I prefer having a:
Shower
Bath / I prefer to:
Wash in the morning
Wash in the evening
My swimming ability / My ability (choose one):
I am an non swimmer
I can only swim with a flotation aid/assisted
I can swim unaided/unassisted
Water depth (choose one):
I should not go out of my depth in the water
I can go out of my depth in the water
Any other information you should know about my swimming ability
E.g. I always have to wear goggles / I like to keep my head out of water / I like to swim underwater all the time / I must not get my hearing aids wet / I am not able to dive in.
My Care needs:
The level of supervision I need
E.g. I need reminding the route to places / I must never be left alone near roads / I need support with my challenging behaviour.
The support I need with my personal care
E.g. I need reminding to wipe properly after using the toilet / I need reminding to have a daily shower / I need advice on the right clothes to wear.
Other information that you should know about my care needs
My Health, Medical and Dietary needs:
My health / medical conditions and the support I need to help manage them
E.g. I have epilepsy and take medication once a day to control this / I have Asthma / I have a skin condition which requires medicated cream.
Things I cannot eat and the support I need with this
E.g. I do not eat fish / I do not drink fizzy drinks / I need a gluten free diet / I need help cutting up my food / I can only drink drinks through a straw.
My Travel Experience:
Modes of transport that I have used before / Boat Bus Car
Plane Train Tram
How I feel about using different modes of transport and what support I need with this?
E.g. I am scared of flying because…/ I get travel sick when on a boat.
How I feel about being away on a residential trip without my family and what support I need with this?
Places I have been before on holiday without my family
Where I went / When I went? / How long I went away for? / Who I went with? / How I travelled there?
My Likes and Dislikes:
Things I like
Things I dislike
Any Other Information:
Other information that you should know about me
E.g. Worries / Things I want to achieve.

Page 1 of 4Athlete & Unified Partner Get To Know Me Form040917