Pre-clinic Questionair

Pre Clinic Questionnaire.

* Indicates required field

Name *

First

Last

License or Passport Number *

Email *

Emergency Contact Number *

Height *

Weight *

Gender *

Fitness Level *

Previous Kite Expirience *

How many years? *

Ski/Snowboard Level *

Other Sports You Paticipate In *

Do you have any orthopedic surgical history? *

Do you suffer a permanent condition (e.g. Asthma)? *

Orthopedic History *

Conditions *

Are you taking any medications? *

Current Medications. *

Any other medical history? *

By clicking this box you confirm that the information you've provided is accurate and factual. *

Confirmed.

Submit