Body Protector Questionnaire

Thank you for your time in completing this questionnaire. Please give as much detail as possible, if necessary using the back of or additional page. Only by acquiring these details will we be able to better assess the effectiveness of body protectors and leading to the improvement and design of garments in the future.

Your answers will be kept confidential however the information received will be used to gather statistics on the use of Body Protectors and accidents.

If you do not wish to receive information from BETA then please tick here:

Section 1:  Personal Details

Name:
Address:
Address2:
Town/City:
County:
Post Code:
Telephone:
Email:
Age:
   
1. How long have you been riding ?
2. How often do you ride?
3. Where do you ride?
More than one answer may be given		 From a livery yard or riding school on your own horse:
From a livery yard or riding school on borrowed horses:
On holiday:
At work as part of your job:
Please detail:

Other:
Please detail:
4. Do you compete? If Yes:
5. If you compete, what discipline(s) do you participate in? Dressage: Show Jumping: Eventing: Showing:
Endurance: Hunter Trial: Hunting: Western:
Polo: Pony Club: Riding Club: Pleasure Riding:
Side Saddle: Driving:
Other:
 

Section 2: Body Protector Details

Please complete these questions as fully as possible:
 
1. What Standard of Body Protector do you wear?
2. What style is your BP?
What make is the Body Protector?
4. Do you wear Shoulder Protectors?
5. If yes, please detail Make:
Level/Class:
6. When did you purchase the Body Protector(ie year)
7. When you purchased it was it new or used?
8. If not new when acquired, how old is your Body Protector?
9. Was it fitted at point of purchase?
10. On a scale from 1 - 10 , where 1 is "doesn't fit properly and is very uncomfortable" and 10 is "so comfortable I hardly notice I am wearing it" please choose the comfort factor of your current body protector:
11. When do you wear your Body protector? Only when I have to:
All the time when around horses - ie riding and handling:
Always when riding:
When hacking out but not at home schooling on the flat.
Sometimes when handling, e.g. when breaking in or lunging
Always when jumping
Only when jumping cross country
Other, please detail
12. Have you had any problems with it?

If yes please detail.


 

Section 3: Accident Details

If you have had more than one accident, please detail the most serious.
 
13. Have you ever been involved in an accident involving horses?
If yes, please proceed to the next question.
If no, thank you for time. Please go to the end of the page and submit the form.
14. Were you mounted or un-mounted at the time of the accident?
15. Were you wearing a body protector?

If so, please give brand, level or protection and or style (zip or tabard)
16. What activity were you participating in at the time of the accident? a. Show Jumping
b. Jumping a fixed obstacle (eg Cross Country Fence)
c. Driving
d. Leading
e. Lunging
f. Rugging up
g. Grooming
h. Other
Please give details
17. What type of accident was incurred? a. Simple fall
b. Flat Fall onto an object - please give details

c. Fall onto an upright or protruding object - please give details

d. Kick
e. Crush
f. Combination (please specify)
g. Other (please specify)
18. What injuries did you sustain and where?
Please provide full details.		 a. Shoulder - Soft Tissue bruising/Fracture
b. Collar Bone/Clavicle - Soft Tissue bruising/Fracture
c. Chest (Please specify eg ribs broken/fracture/bruising)
d. Abdomen (Please specify)
e. Spine (Please give details)
f. Pelvis - eg soft tissue bruising/fracture)
19. Were you admitted to hospital?
If yes, please complete Questions 20 and 21
 
20.
a. Name of hospital:
b. Name of GP:
c. How long were you admitted for?
21. How long was your recovery time? Back to riding within:

Other:

22. Please detail any other information you would like to give, particularly any comments by your Doctor or similar regarding the efficacy or otherwise of garments used or their lack of use.

Thank you for the time you have taken to complete this questionnaire.
Your answers will be kept confidential however the information received will be used to gather statistics on the use of Body Protectors and accidents.