SkyPark Incident Review

• Conducted on

  Date

• Prepared by

• Your name

• Nationality

• Medical Conditions

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Did you list your medical conditions on our pre-activity waiver form?

  Yes

  No

  N/A

• Please list your medical condition(s)

• Please rate the severity of your incident

SkyPark First Aid Performance Review

• Were you offered first aid?

  Yes

  No

  N/A

• Did you accept first aid?

  Yes

  No

  N/A

• Are you happy with the first aid provided?

  Yes

  No

  N/A

• How can we do better in the future?

• Should you have been offered first aid?

  Yes

  No

  N/A

• Were you offered hospitalization?

  Yes

  No

  N/A

• Did you accept hospitalization?

  Yes

  No

  N/A

• Did we, to the best of our ability, help you throughout this process?

  Yes

  No

  N/A

• How can we do better in the future?

• Should you have been offered hospitalization?

  Yes

  No

  N/A

Conclusion

• How would you rate our first aid/incident response?

  Good

  Fair

  Poor

  N/A

• How can we do better in the future?

• Please sign

  Sign