Personal Coaching Questionnaire
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Name or names of participants: *
Age(s): *
Email address: *
Best phone number to reach you at?
Which gym would you like your class to take place at? *
Please briefly explain your climbing experience.
How long you have been climbing? Tell me about your climbing experience both indoors and outdoors? Anything else you would like to share?
Please describe a normal day for you climbing at the gym.
On what route grades do you warm up? What routes can you climb consistently without taking or falling? What grades would you consider hard for you, or just barely out of reach?
Tell me what aspect of your climbing you would like to improve.
Is there anything in particular you seem to be struggling with  that you would like to improve by taking this class?
Tell me what aspect of your climbing you think you do really well?
Is there one skill or particular move that you excel at? Do you feel super comfortable in dihedrals? Or maybe on slab terrain?
What days and times work best for your schedule?
Please provide days and times that work best for your schedule so that a Momentum Instructor can setup a time to teach that works best for you.  
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Morning
Mid-Morning
Afternoon
Evenings
Any thing else we should know before we get started?
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