RIGHT FIT PROGRAM GUIDE

Answer a few brief questions to learn which LifeStriders programs may be the right fit. This takes about 2 minutes and no information is stored.

1

Getting Started

2

Health & Safety

3

Readiness

4

Physical Comfort

Section 1 of 4

Getting Started

A few general questions to help us understand which programs may be a good fit

What is the patient's age?Programs are available for patients 2 years of age and older.

years old

Please enter the patient's age to continue.

Does the patient have a current physician's referral for Physical, Occupational, or Speech Therapy?Required for PT, OT, and SLP services. Not required for counseling or equine-assisted learning.

Yes

No

Not applicable

Please select an option to continue.

What is the patient's current weight?Patients weighing under 200 lbs on a physician scale may participate in mounted equine therapy.

lbs

Please enter the patient's weight to continue.

Continue →

Section 2 of 4

Health & Safety

Certain conditions require physician clearance or may affect which programs are recommended

Does the patient have Down Syndrome or juvenile rheumatoid arthritis?If yes, Atlantoaxial Instability (AAI) must be ruled out by physician X-ray before mounted therapy.

Yes

No

Has AAI been ruled out by physician X-ray?

Yes, cleared

No / Unknown

Please select an option to continue.

Does the patient have an unstable spine, unstable internal hardware, or an acute herniated disc?

Yes

No

Please select an option to continue.

Does the patient experience grand mal seizures that are currently uncontrolled by medication?

Yes

No

Please select an option to continue.

Does the patient have any of the following?Indwelling urethral catheter · Hemophilia with recent bleeding · Open wounds on weight-bearing surfaces

Yes, one or more

None of these

Please select an option to continue.

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Section 3 of 4

Readiness

Safety considerations for working in an equine environment

Is the patient able to follow simple directions for their own safety?Patients do not need to be verbal. The ability to respond to basic cues is sufficient.

Yes

No

Please select an option to continue.

Has the patient experienced suicidal ideation or self-harm?Many of our clients come to LifeStriders after working through these challenges at other programs. This helps us recommend the right starting point.

Yes

No

Are these symptoms currently active, or have they stabilized?

Currently active

Stabilized / in the past

Please select an option to continue.

Is there a documented history of fire-setting or animal cruelty?Our programs take place in a barn environment with live therapy horses. This helps us ensure a safe setting for everyone involved.

Yes

No

Please select an option to continue.

Is there a history of aggressive or violent behavior?Context matters and every situation is different. Our clinical team will discuss the specifics with you to find the right fit.

Yes

No

Please select an option to continue.

Can the patient wear an ASTM/SEI-approved equestrian helmet?If not, a clinical justification for an alternative may be considered case-by-case.

Yes

No / Unsure

Please select an option to continue.

Does the patient have severe, unmanageable reactions to dust, dander, or pollen?

Yes

No

Please select an option to continue.

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Section 4 of 4

Physical Comfort

These questions help our team understand what kind of support may be needed

Can the patient sit upright, with or without physical support?The patient does not need to sit independently. Many of our riders use adaptive support. This question helps us understand whether seated activities, including gentle movement, are tolerable and pain-free.

Yes

No

Unsure

Please select an option to continue.

Does the patient have limited hip mobility or high muscle tone (hypertonia) in the hips or legs?Many of our clients have high muscle tone or limited range of motion and benefit greatly from therapeutic riding. Our therapy team evaluates positioning and horse selection during intake.

Yes

No

Unsure

Please select an option to continue.

Does the patient have enough neck strength to safely support the weight of a helmet during rhythmic movement?Some minimal neck control is required for mounted sessions. Unmounted programs do not require this.

Yes

No

Unsure

Please select an option to continue.

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Programs Available

LifeStriders Programs May Be a Good Fit

Based on your answers, you may be a good candidate for LifeStriders' full range of programs. Our clinical team will work with you to determine the most appropriate path during intake.

Programs potentially available to you

✓

LifeStriders Therapeutic Riding

✓

Clinical Equine-Assisted Therapy OT · PT · SLP · LPC

✓

Unmounted Equine-Assisted Therapies

✓

Counseling and Life Coaching

✓

Social Skills Classes Participation is confirmed through a brief conversation during intake.

Please note: Completion of this questionnaire does not guarantee enrollment. Final program placement is determined through a clinical intake with our therapy team.

Would you like LifeStriders to follow up with you?

Enter your name and email and our team will reach out to discuss next steps.

Request Follow-Up

Recommended Programs

We Have Programs That May Be a Great Fit

Based on your answers, our team would like to talk with you directly to find the best starting point. The programs below may be well suited for this patient, and our clinical team will work with you to determine the most appropriate approach during intake.

Programs potentially available to you

✓

Unmounted Equine-Assisted Therapies

✓

Counseling and Life Coaching

✓

Social Skills Classes Participation is confirmed through a brief conversation during intake.

Please note: Completion of this questionnaire does not guarantee enrollment. Final program placement is determined through a clinical intake with our therapy team.

Would you like LifeStriders to follow up with you?

Enter your name and email and our team will reach out to discuss which services may be the best fit.

Request Follow-Up

Let's Talk

We Want to Help You Find the Right Fit

Based on your answers, our team would like to talk with you directly to find the best starting point. This does not mean services are unavailable. Please call or email us and we will be glad to discuss your situation.

Call us at (262) 565-6124

Email us at [email protected]

S11 W29667 Summit Avenue (US HWY 18), Waukesha, WI 53188

✉️

We'll Be in Touch

Thank you for reaching out. Someone from the LifeStriders team will contact you within 3-5 business days to discuss next steps.

In the meantime you can reach us at (262) 565-6124 or [email protected].