MESA Mountaineers

A group to have a safe space for survivors of sexual assault, loved ones, and allies in the good fight to hike aroundĀ Boulder/surrounding areas.

What is your first name and last name?

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* 1. What is your first name and last name?

What is your preferred name?

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* 2. What is your preferred name?

What are your preferred gender pronouns?

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* 3. What are your preferred gender pronouns?

How would you describe your relationship to exercise? (For example, “Exercise is worst thing ever”, “I just love to exercise”)

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* 4. How would you describe your relationship to exercise? (For example, “Exercise is worst thing ever”, “I just love to exercise”)

What experience do you have with hiking?

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* 5. What experience do you have with hiking?

What about this group are you looking forward to? Excited about?

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* 6. What about this group are you looking forward to? Excited about?

What are you nervous or apprehensive about?

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* 7. What are you nervous or apprehensive about?

How can I, and others in the group, best support you?

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* 8. How can I, and others in the group, best support you?

What goals – physical and/or mental – would you like to achieve during your time in this group?

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* 9. What goals – physical and/or mental – would you like to achieve during your time in this group?

Contact information:

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* 10. Contact information:

 
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