Guest Questionnaire

Guest Questionnaire
Contact Information
Name*

Full First NameFull Last Name
What do you prefer to be called?
Nickname
Phone Number*
Please enter a valid phone number with country code.Format: +1(000) 000-0000.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Emergency Contact
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Relationship*
Personal Details
Date of birth*

YearMonthDay
Date
Height*
Weight*
What gender do you identify as?
What pronouns do you use?
Medical Information
Please check if any of the following medical conditions are relevant to you.*

Chronic illnessesAsthmaHigh blood pressureHeart conditionsSiezuresDiabetesRecent and/or relevant surgeriesRecent and/or relevant fractures or injuries to ligaments or tendonsBack and/or neck injuriesJoint injuriesSleep disordersAnxiety and/or depressionMental health diagnosisUncorrectable vision impairmentUncorrectable hearing impairmentOther - please describe belowNone
Do you have any adaptive needs or equipment that your guide needs to know about?*
Are there any other physical or mental health conditions that you would like your guide to know about?*
Are you currently taking any medications, including prescription and non-prescription?*
Do you have any allergies?*

YesNo
What is your common reaction to it?*
Do you carry any medications for these reactions?*

YesNo
Diet
Please select any food allergies or dietary restrictions.*

VegetarianVeganLactose intoleranceGluten intoleranceNut freeNo shellfishNo fishNo red meatNo poultryNo porkKosherHalalOther - please describe belowNone
Please tell us more about any food allergies, what their cause is (illness, choice, allergy) and what your reaction is if exposed.
Please indicate what kind of contact with your allergy or dietary restriction will most likely cause a reaction.*

IngestTouchInhaleNo reaction
Fitness & Experience
"I am confident that I can comfortably hike for..."*

2000ft or 610m vertical gain in a day.3000ft or 914m vertical gain in a day.4000ft or 1219m vertical gain in a day.5000ft or 1524m vertical gain in a day.greater than 5000ft or 1524m vertical gain in a day,
"I can comfortably carry and hike with a 45lbs pack for..."*

up to 2 hours a day.up to 4 hours a day.up to 8 hours a day.up to 12 hours a day.more than 12 hours a day.
"I can comfortably climb without falling up to..."*

I haven't rock climbed before.up to 5.6.up to 5.8.up to 5.10.greater than 5.10.
Please describe your climbing and camping experience.*
Have you participated in any guided trips before this?*

YesNo
If yes, please tell me as much as you can about your experience - the objective, guide service, guide's name, and month/year are helpful.
Describe your current level of fitness and exercise routine.*
Final Notes
Are you a member of the American Alpine Club?*

Yes, I am a member.No, I am not a member.
Are you a member of the Austrian Alpine Club?*

Yes, I am a member.No, I am not a member.
Have you purchased Trip Insurance for this booking?*

Yes, I have purchased Trip Insurance for this booking.No, I have not purchased Trip Insurance for this booking.
Shwag!

I've got some fun stuff to say thank you with, so if you don't mind letting me know...
My favorite t-shirt size is:
Mens/Unisex or Women's, XS - XXL
My waist size is:
Don't worry - for my Alps clients I have a sweet belt and belt buckle!
That's It!

Thank you for taking the time to fill out this questionnaire.
Is there anything else you want me to know?
Should be Empty:

Guest Questionnaire

Contact Information

Emergency Contact

Personal Details

Medical Information

Diet

Fitness & Experience

Final Notes

Shwag!

That's It!