TayloredFit Solutions is looking forward to training with you! We need to gather some important information before our first session! Please take time to complete this form. Registrant Who is completing this form * I am completing this form for me I am completing this form for someone else Participant/Client Information Participant/Client Name * First Name Last Name Pronoun * she/her she/they they/them he/him he/they 2-spirit Gender preference not listed DOB * MM DD YYYY Participant/Client Email * Participant Phone (###) ### #### Social Media * Are you on social media? Please share all that apply Training Support * What training/trainer needs are you seeking? General Fitness Rock Climbing Training 1:1 Experiential Therapy Sessions Athletic Preparation Standup Paddleboarding Lessons Climbing Training If climbing is interest, please select training focus Rope (Top Rope, Lead, Sport, Trad) Climbing (Trad, Multipitch, Big Wall Boulder Climbing (Training, Competition Circuit) Boulder (Projecting) Adaptive/Para Climbing Mental Training Fitness Training If fitness is an interest, please select focus Agility Flexibility Endurance Strength Injury Prevention Injury Recovery General Fitness Routine Fitness Support Body Conditioning What is participant training experience? * How long have you been consistently training? * How many days a week do you train? * 1 2 3 4 5 6 7 What are your experiences in working with a coach? * Share your training vision * What would participant like to achieve with a professional coach? * Climbing Assessment For climbers only What was your first climbing experience? Please describe. Where was it? How did you feel? What did you experience? Onsight Level (Bouldering) v3-v4 v5-v7 v8+ Onsight Level (Rope) 5.10-5.11 5.12-5.13 5.14+ What do you like about climbing? Where do you feel your success? What do you like about climbing? What do you feel good at doing? What holds/moves feel most comfortable to you? What are your climbing challenges Brief Health Information Please complete this brief health history Previous Injuries * None Neck Shoulders Wrist Hand Fingers Knees Foot Visual Impairments * None Wears glasses/contacts for corrective vision Colorblind Depth Limitations Partial Blind Blind Learning Style * What way best describes your learning style? Visual Learner Auditory Learner Kinetic Learner Repetitive Learner Delayed Processor Linear Personality What best describes your personality? Extrovert Introvert Ambivert Risk-taker Cautious Assertive Academic Competitive Artistic NeuroSpicey Questions? Do you have any questions/comments or concerns to share at this time? Thank you for completing this form. This information is private and will be used only to navigate a supportive experience for your needs! You will receive a confirmation email following this submission and a reply within 72 business hours.
