Off-road Adventure Driver Assessment Form
Please complete this form to help us assess your suitability and readiness for off-road adventure driving.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
How many years of off-road driving experience do you have?
*
What type of vehicle do you primarily use for off-road driving?
*
Please Select
4x4 SUV
Pickup Truck
ATV/UTV
Motorbike
Other
Have you received any formal off-road driver training?
*
Yes
No
Please rate your confidence in the following off-road driving skills:
*
Rows
Beginner
Intermediate
Advanced
Navigating rough terrain
1
2
3
Water crossings
4
5
6
Sand driving
7
8
9
Mud driving
10
11
12
Hill climbs/descents
13
14
15
How familiar are you with the following safety practices?
*
Rows
Not familiar
Somewhat familiar
Very familiar
Vehicle recovery techniques
16
17
18
First aid basics
19
20
21
Emergency communication
22
23
24
Tire repair/replacement
25
26
27
Please rate your preparedness for off-road adventures.
*
1
2
3
4
5
What equipment do you typically bring on an off-road adventure? (Select all that apply)
*
Recovery straps/gear
First aid kit
Navigation tools (GPS, maps)
Spare tire/tools
Water/food supplies
Other
Please describe any previous off-road incidents or accidents (if any):
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