Customized 6-Week Plan Intake Form

Name *

First

Last

Gender/Pronouns

When is your birthday?

Email *

Climbing Background

How long have you been climbing for? *

What type(s) of climbing do you most frequently engage in? *

What level are you currently climbing at? *

What does climbing mean to you? *

What are your greatest strengths in climbing? *

What are your greatest weaknesses in climbing? *

What are your climbing goals? *

Physicality

This section addresses the physical aspects of climbing within the holistic framework. If you are uncomfortable answering a question, feel free to skip it.

How tall are you and what is your ape index? *

ape index = wingspan - height

How does your body and your relationship with your body influence your climbing?

How consistent is your sleep schedule throughout the week? *

How many hours do you typically sleep per night? *

Describe your relationship with food and nutrition.

How long does it typically take you to recover from a hard session? *

Do you employ any recovery tactics? *

Intrapersonal

This section addresses the mental aspects of your climbing within the holistic framework. If you are uncomfortable answering a question, feel free to skip it.

What are your greatest strengths when it comes to mental game?

What are your greatest weaknesses when it comes to mental game?

Describe your self talk and confidence levels.

Interpersonal

This section addresses the relationships we form in climbing. This is the final lens in the holistic approach framework. If you feel uncomfortable answering a question, feel free to skip it.

Describe your most prominent (current) climbing partnership(s). Include strong points and sticking points.

Do you switch up partners frequently?

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Anything else you want us to know?

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