Concealed Carry Skills Assessment and Range Evaluation Questionnaire
Use this form to evaluate concealed carry skills, safety knowledge, training background, and range performance. The exact title must remain unchanged throughout the form.
Applicant Information
Full Name
*
First Name
Middle Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Firearm Experience and Training
Concealed Carry Experience Level
*
Beginner
Intermediate
Advanced
Years of Firearm Handling Experience
*
Formal Safety or Concealed Carry Training Completed
*
Yes
No
In Progress
Skills and Range Evaluation
Skills and Range Evaluation
*
Rows
Needs Improvement
Developing
Competent
Proficient
Safe handling
1
2
3
4
Stance and grip
5
6
7
8
Target acquisition
9
10
11
12
Draw efficiency
13
14
15
16
Trigger control
17
18
19
20
Muzzle discipline
21
22
23
24
Awareness of surroundings
25
26
27
28
Range safety compliance
29
30
31
32
Safe handling overall rating
*
1
2
3
4
5
Range safety compliance rating
*
1
2
3
4
5
Evaluator notes and corrective observations
Submit
Should be Empty: