Questionnaire

* Indicates required field

Name *

First

Last

Email *

Phone *

Current Age *

What has been your hiking/climbing experience up to now? Have you ever climbed above 3000m? *

What intrigues you about a Mountain Climbing Adventure/Trail Running Camp/ Yoga Hiking Retreat? Why would YOU want to do a trip like this? Be as honest and specific as you can... *

What does your current fitness routine consist of on a weekly basis? Be specific… *

Do you have any current health/physical concerns or anything you feel I should know about? Blood pressure, heart, asthma, injuries (past, present) etc. Please mention medications as well. *

Tell me what aspect of an adventure would apply the most in regards to HOW YOU WOULD DESIRE IT.

Choose one *

The Challenge -physically and mentally Authentic Experience - unique experience with locals (for e.g.) Off the beaten path No responsibilities Hut to Hut Hiking An environment that is structured but at the same time feels unstructured...that adventure feeling.. Get clarity..or new perspective on a life event, shifting to something new, etc Yoga/ Meditation

Other or expand on what you chose *

Do you have any issue with heights or the thought of being in open high alpine terrain (rocks, uneven, quite steep in areas – up and down)? *

Yes No Occasionally Unknown

What activities do you LOVE doing? What activities, sports, extreme sports would you love to try? Be specific and be CRAZY…think outside the box… *

How would you rate your overall fitness level now? (Between 1-10) *

How would you rate your overall health now? (Between 1-10) *

How would you rate your overall energy? (Between 1-10) *

How would you rate your overall nutrition? (Between 1-10) *

How would you rate your overall stress level now? (Between 1-10) *

Who do you know that would like to join you on this adventure? *

Any other comments you would like to add? *