Private Coaching

Pre-Coaching Questionnaire

Please fill out this questionnaire so that we can best match you with a coach and tailor your session to your preferences. Once we receive this form we will be in touch about setting up your first session.

*Please be aware that your first coaching session will be partially dedicated to assessment and getting to know your needs, rather than entirely to coaching.

First Name*

Last Name*

Email Address*

Phone Number*

Birthdate*

What boulder grade do you currently climb?*

What rope grade do you currently climb?*

Do you lead climb?
YesNo

Do you climb outside?
YesNo

What style/type of climbing do you prefer?*

What are you interested in working on?*

How often would you like coaching:
WeeklyBi-WeeklyMonthlyEvery now and again

What days/times work best for your schedule?*

Do you have a preferred coach?

Is there anything else you would like us to know?