Pre-Trip Questionnaire
 

 

    Princeton Outdoor Adventures

Pre-Trip Questionnaire
The information you provide will be used to design a trip that best matches your ability level, goals and interests as well as to help select equipment, including kayak, paddle, and wetsuit that will be a good fit for you.

Name:       

Phone: 

Age:

Email:

Height:

Emergency contact (name & phone:

Build: (large / medium / small)

Weight:

 

 

Current level of fitness:  In the last two months, how often have you exercised for at least 20 minutes?
_____ never
_____ occasionally
_____ 1 - 2 times per week
_____ 3 - 4 times per week
_____ 5 or more times per week

Briefly describe the extent of your kayaking and canoeing experience (if any):



Please identify any temporary or long-term medical conditions which could potentially become a factor during a kayaking trip:



Please identify any allergies, including allergies to insects:


Trip Goals:

Please each of the following in terms of importance, from 1 - 10, with 10 being of maximum importance.  (More than one item may be ranked 10, for example):

______ physical exercise

______ adventure

______ natural history / marine life

______ relaxation

______ exploration / discovery

______ improve kayaking skills

______ spend time with friends

______ physical challenge

______ adrenaline rushes

______ enjoy natural beauty

______ other: (please describe): ___________________________________________________________________

 

 
   
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