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 your training goal Fitness & recreation Substitute for running Cross-training for another sport Citizen racing School or college racing Elite racing Other (please explain below)
Your experience:	Describe your experience 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?	Describe your skis Roller skis Skate and classic skis Skate skis Classic skis Back-country skis Alpine (downhill) skis Telemark skis Do not own skis Boots? Describe your boots Roller ski boots Skate boots Classic boots Combi boots Back-country boots Alpine (downhill) boots Telemark boots Do not own ski boots
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:	Describe the surface Smooth Pavement Rough Pavement Crushed Limestone Gravel Dirt All of the above
Terrain:	Describe the terrain Flat Hilly Both
Traffic:	Describe the traffic Heavy (Urban) Moderate (Suburban) Light (Rural) Bike trails only All of the above
Package options:	Select a package option Roller skis, boots & poles Roller skis & boots only Roller skis & poles only Roller skis with bindings Roller skis without bindings
Message:
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