Skills Form - Climb

To help us help you with your mountaineering adventure, fill out the form below to tell us what your goals are. The more we know the better we can match you with the perfect adventure experience. Please note we offer a range of trips and some of our questions are geared towards our most challenging trips.

Contact Details

First Name

Last Name

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Gender

Male

Female

Other

Cell Phone

Country of Residence

Weight (kg)

Height (cm)

Date of Birth

Shoe Size (UK, US or EU)?

Enquiry

Climb Trips

Climbing Fitness

How do you rate your current level of fitness?

I am capable of <6 hours of physical activity a day

I am capable of 6-8 hours of physical activity a day

I am capable of 8-10 hours of physical activity a day

How do you rate your uphill fitness?

I am capable of <500m ascent and descent in a day

I am capable of 500-1000m ascent and descent in a day

I am capable of 1000m+ ascent and descent in a day

How do you rate your fitness in terms of carrying a pack over difficult terrain for 6-8 hours?

I am capable of carrying a pack <5kg

I am capable of carrying a pack 5-10kg

I am capable of carrying a pack 10-15kg

I have recent experience of a minimum of 3 consecutive (6-8 hour) activity days, including a large ascent/descent?

Yes

Technical Climbing Experience

How do you rate your rock climbing experience?

No rock climbing experience

Recent rock climbing experience, up to Grade 14 (NZ)

Recent rock climbing experience, up to Grade 18 (NZ)

Ropework, knot tying and belaying a climbing partner:

I have no ropework familiarity

I have some ropework familiarity

I am very familiar with tying in, lead belaying and abseiling

Crampon use experience:

I have not used crampons before

I have some experience on crampons

I can demonstrate good cramponing competency in potentially exposed situations

Mountaineering Experience:

I have no mountaineering experience

I have some mountaineering experience

I have mountaineering experience of grade 2 or above

Technical Alpine Climbing Experience:

I have no technical alpine climbing experience

I have some technical alpine climbing experience including some steep snow (40 degrees or more), ice (60 degrees, WI2 or more) or mixed climbing experience

I have lots of technical alpine experience on snow/ice or mixed climbing (M4, WI3 or more)

Backcountry

Trekking experience:

I have experience with day walks and have some trekking experience

I have experience multi day trekking using huts and/or wild camping

I have experience on longer, more remote wilderness trips

Rough terrain experience:

I have no experience on rough terrain

I have some experience on rough 'off track' terrain, including steep hills, scree, boulders, etc

I have recent experience on rough 'off track' terrain, including steep hills, river crossings, scree, boulders, etc

I have good balance and am confident moving on exposed (visibly high), steep and rough terrain?

Yes

I am comfortable in a range of adverse weather conditions?

Yes

It would be great if you could provide an overview of the trips you have undertaken in the past 5 years which relate to your responses in the survey

More information

What are your key objectives that you wish to achieve on this trip?

Do you have any concerns about this trip?

Are you aware of any potential limiting factors that could affect your participation in this activity?

If so, please describe. If not, write NA.

Do you have any special dietary requirements?

If so, please list. If not, write NA.

Do you have a medical condition or injuries that we should know about or your guide needs to be aware of?:

If so, please list. If none, write NA.

Are you taking medication?

If so, please list. If none, write NA.

By checking this box you agree we can store your personal information

Any other Questions or Comments?