Welcome! *

We want to get to know you in the way that feels best for you. You can answer alone, with a support person, by talking, writing, drawing, using a device, video, in-person, or another way that works for you. We believe in the power of nature to help you thrive, and we're here to create a supportive environment where everyone feels valued and understood.

First Name

Last Name

Would you like to complete this learner profile in another format?

Select an option

In person (one-to-one conversation)

Record video responses

Draw pictures

Other format

About You

What name would you like us to use for you?

First Name

Last Name

Phone

(###)

###

####

How do you like to communicate?

(tick all that feel right)

Talking

Device or app (AAC)

Pictures, symbols or writing

Sign language

With support from someone

Another way

How do you describe yourself?

With Autism

With intellectual Disability

With Both

Preferred words

Current Engagement With Nature

Do you spend time in nature or outside? (e.g., walking, gardens, parks)

Yes, often

Sometimes

Not much yet

If you go for walks, what distance feels comfortable for you?

Short (under 500m)

Medium (0.5-2km)

Long (more than 2km)

It changes/I'm not sure

What activities outdoors do you already enjoy?

(tick any)

Walking

Gardening

Relaxing or mindfulness

Making things with nature

Watching or listening to nature

Exploring new places

Sensory and Participation Supports

Are there any calming or alerting sensory tools or strategies you use now that are helpful? (For example: headphones, chewy jewelry, fidget tools, weighted lap pads)

Yes

No

Not sure

If yes

Is there anything, or any person, that helps you feel comfortable joining in?

Family or support person attends

Pictures, schedules or visual supports

Mobility aids e.g wheelchair, wheelie walker

Having a quite space near by

Another

Will you be bringing a support person to the group?

Yes

No

Maybe/Not sure

Are there any routines or plans that support you to feel safe or happy outdoors/in a group?

Preferences and Learning

What group size do you like best?

Big group (more than 10)

Small group (2-9)

One-to-one

Not sure

How do you like to learn new things?

Seeing pictures

Doing/hands on

Listening

Reading

Another way

Readiness, Motivation, Hopes

Have you joined outdoor or nature activities before?

Yes

No

A little

If yes

How do you feel about being in nature with others right now?

Excited

A little nervous

Not sure yet

Another