| I can? |
| Drive an electric wheelchair |
| Walk |
| Wheel a manual wheelchair |
| Run |
| Jump |
| Kick |
| Swim |
| Catch a ball |
| Float in the water |
| Hold on to things |
| Throw a ball |
| I like? |
| Adventure activities (rock climbing etc.) |
| Clubs (social clubs, church clubs etc.) |
| Creative activities (dancing, drama etc.) |
| Entertainment/Music (going to the movies, making music etc.) |
| Making things (crafts, sewing, cooking etc.) |
| Outdoor activities (hiking, camping etc.) |
| Playing active games (tag, skipping etc.) |
| Playing quiet games (cards, bingo, computer games etc.) |
| Playing sports (volleyball, softball etc.) |
| Water activities (canoeing, swimming etc.) |
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