NordicSkater.com ..... Roller Ski Questionnaire
Please fill out the entire form, then click "Submit Form".
We will contact you after reviewing your information.

Name:
Street / PO Box:	Apt.:
City:
State / Province:	Zip/Postal Code:
Telephone:	Best Time To Call:
Email:
Height:	Weight:   Age:
Shoe Size:	Men's or Women's: Select Men's Women's
Training goal:	Select Fitness & recreation Substitute for running Cross-training for another sport Citizen racing School or college racing Elite racing Other (please explain below)
Your experience:	Select Roller skiing Ice skating Rollerblading Skate and classic skiing on snow Skate skiing on snow Classic skiing on snow Back-country skiing Alpine (downhill) skiing Telemark skiing Nordic Track machine Rowing Cycling Running No experience
Do you own skis?:	Select Roller skis Skate and classic skis Skate skis Classic skis Back-country skis Alpine (downhill) skis Telemark skis Do not own skis
What kind of roller skiing do you want to do, and where will you be doing it?
Preferred Technique:	Select Skate Classic Both 'Classic' means traditional 'kick and glide' skiing.                    Skate technique is like ice skating or rollerblading.
Surfaces:	Select Smooth Pavement Rough Pavement Crushed Limestone Gravel Dirt All of the above
Terrain:	Select Flat Hilly Both
Traffic:	Select Heavy (Urban) Moderate (Suburban) Light (Rural) Bike trails only All of the above
Message:

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