Please complete the questionnaire by ticking the box that you think best represents you and you're climbing. Where requested please add small comments which you think may be appropriate, or if you are unsure please leave blank.

* I am:

* I am aged:

* I own a car:

* I am a member of the:

* I consider my ethnicity to be:

* I hold the following climbing qualifications:

* I live in:

* My Annual Income is:

* My Occupation is: