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Question 1 of 30

What is the primary purpose of the Adaptive SUP Instructor Guide?

To establish a consistent, inclusive, safety first foundation for adaptive SUP instruction

To replace instructor judgment with strict protocols

To provide medical treatment recommendations

To certify instructors in medical decision making

Question 1 of 30

Question 2 of 30

According to the manual, what is the preferred water condition for adaptive SUP sessions?

Fast moving rivers

Any water is acceptable

Open ocean

Flat, calm water

Question 2 of 30

Question 3 of 30

What is the recommended maximum wind speed for beginner adaptive paddlers?

8–10 mph

5 mph

20 mph

15 mph

Question 3 of 30

Question 4 of 30

Which statement reflects a core instructor principle?

Always ask participants how they prefer to be supported

Use diagnosis first language

Avoid debriefing after sessions

Assume what support a participant needs

Question 4 of 30

Question 5 of 30

Why are extra‑wide, high‑volume boards recommended for adaptive paddlers?

They offer greater stability

They are faster

They are easier to store

They reduce paddle fatigue

Question 5 of 30

Question 6 of 30

What is the preferred leash type for wheelchair users?

Quick release waist leash

Coiled leash

Ankle leash

No leash

Question 6 of 30

Question 7 of 30

For participants with upper‑limb impairments, which adaptation is recommended?

Single arm paddle technique with sweep strokes

Avoiding paddling altogether

Longer paddle

Only tandem paddling

Question 7 of 30

Question 8 of 30

What is a major risk for paddlers with spinal cord injuries?

Excessive arm strength

High blood sugar

Overheating or impaired temperature regulation

Too much sensation in the legs

Question 8 of 30

Question 9 of 30

What is autonomic dysreflexia?

A normal response to cold water

A sudden rise in blood pressure triggered by stimuli below the injury level

A type of dehydration

A mild muscle cramp

Question 9 of 30

Question 10 of 30

10.

What is the recommended first step when a participant shows signs of panic?

Calmly move the board toward shore

Ignore it and continue the lesson

Move the board quickly to deep water

Tell them to relax

Question 10 of 30

Question 11 of 30

11.

Which grounding technique is specifically recommended in the manual?

“Anchor Points” — hand on board + hand on thigh

Splashing water on the face

Closing eyes tightly

Counting backwards from 100

Question 11 of 30

Question 12 of 30

12.

What is the purpose of micro‑progressions?

To speed up learning

To break skills into tiny, manageable steps

To reduce instructor workload

To challenge advanced paddlers

Question 12 of 30

Question 13 of 30

13.

What is a common sign of cognitive overload?

Laughing loudly

Repeating questions

Increased appetite

Excessive sweating

Question 13 of 30

Question 14 of 30

14.

For participants with MS or heat sensitivity, what is recommended?

Early morning or evening sessions

Wearing dark clothing

Mid day sessions

Avoiding rest breaks

Question 14 of 30

Question 15 of 30

15.

What is the safest starting position for lower‑limb impaired paddlers?

Running start

Standing

Kneeling or seated

Lying prone

Question 15 of 30

Question 16 of 30

16.

What should instructors avoid saying to anxious paddlers?

“Just relax.”

“Tell me if you want to stop.”

“We can go at your pace.”

“You’re in control.”

Question 16 of 30

Question 17 of 30

17.

What is a fawn response?

Running away

Over apologizing or people pleasing

Freezing in place

Becoming aggressive

Question 17 of 30

Question 18 of 30

18.

What is the recommended instructor behavior for trauma‑informed practice?

Use sudden loud cues

Narrate your actions and avoid surprises

Stand behind the participant

Push participants past limits

Question 18 of 30

Question 19 of 30

19.

What should instructors do if a participant expresses hopelessness or concerning statements?

End the session without comment

Tell them to paddle harder

Ask directly about self harm and follow crisis protocol

Ignore it

Question 19 of 30

Question 20 of 30

20.

What is the recommended instructor‑to‑participant ratio for higher‑needs paddlers?

1:1 or 2:1

1:4

1:10

1:6

Question 20 of 30

Question 21 of 30

21.

A participant with PTSD begins breathing rapidly and gripping the board tightly. What should you do first?

Tell them to stand up

Move behind them to stabilize

Splash water on them

Bring them to a seated position and cue slow exhale

Question 21 of 30

Question 22 of 30

22.

A student with autism becomes overwhelmed by verbal instructions. What is the best response?

End the session immediately

Ask them to memorize the sequence

Reduce instructions to one step and demonstrate visually

Increase verbal cues

Question 22 of 30

Question 23 of 30

23.

A participant with a below‑knee amputation wants to stand but appears unstable. What should you do?

Force them to stand

Insist they remove their prosthetic

End the session

Return to kneeling and progress slowly

Question 23 of 30

Question 24 of 30

24.

A student freezes up while standing — stiff posture, shallow breathing. What is the correct instructor script?

“Let’s come back to kneeling together. I’m right beside you.”

“Ignore it and keep paddling.”

“Relax! You’re fine!”

“Hurry up and sit down.”

Question 24 of 30

Question 25 of 30

25.

A participant with MS begins showing signs of heat fatigue. What should you do?

Increase paddling intensity

Continue the session normally

Move to shade, offer cooling, and rest

Ask them to remove their PFD

Question 25 of 30

Question 26 of 30

26.

A student with cognitive challenges keeps repeating the same question. What does this indicate?

They want to quit

Cognitive overload

They are being disrespectful

They are bored

Question 26 of 30

Question 27 of 30

27.

A participant with SCI reports a sudden severe headache and flushed skin. What is the correct response?

Lay them flat

Continue paddling

Give them water and ignore symptoms

Suspect autonomic dysreflexia and remove irritants, call EMS if needed

Question 27 of 30

Question 28 of 30

28.

A student expresses fear of deep water. What is the correct instructor response?

“Don’t worry about it.”

“We’ll stay right here where you can see the bottom.”

“You need to get over that fear.”

“Let’s go farther out to practice.”

Question 28 of 30

Question 29 of 30

29.

A participant begins to dissociate and stare blankly. What grounding technique should you use?

Tell them to paddle faster

“Name three things you can see right now.”