BASETAC

This Questionnaire is confidential and only certified instructors have access to this information in order to better train and assist you.

First & Last Name (required)

Your Email (required)

List 6 Personal Weaknesses

List 6 Personal Strengths

What are your goals for this training session? What do you hope to learn during this training session? What do you hope to achieve because of this training session?

What concerns/fears do you have? Do you believe that this training session will help you over come this/these concerns/fears?

What kind of training status/symbols of accomplishment are you looking to achieve upon completion this training session? (certificate, promotions, recognition, or other)

Would you like to receive honest and direct a feedback from instructors? Is there a form of feedback that you would prefer?

Is there anything that you hope to learn about yourself during this training session? Is there anything you need to or would like to prove to yourself during this training session?

Do you have any injuries or health issues that may impact your training during this cycle?

Would you like to tell us about a situation that is motivating you to train during this training session?