Athlete Form

Name*

First Last

Date of Birth*

Phone*

Email*

Occupation

Hours of Sleep Per Night

Do you have home support for this endeavor or training?*

Yes
No

Are you healthy enough to take on a training program of this nature?*

Yes
No

How often do you sit?*

Example: Work, travel, etc.

List any current injuries/illness.

List any past injuries/illness/surgeries.

Any nutritional information you would like me to know?

What is your athletic background?

Example: Past race performances, high school/college athletics, etc.

How much time do you have to train each week?*

What days and times of day do you prefer to workout and what rest day do you prefer?*

Are there any restrictions to days/time of workouts?*

Example: Long work days on Tuesdays, kids have activities on Sundays

Choose the number that best describes your current level of skill in the following:

Swimming technique*

Swimming distance*

Biking technique*

Biking distance*

Running technique*

Running distance*

Nutrition for training*

Nutrition for race day*

What is your race schedule ranked from most important to least important?*

List 3 priority goals you have for yourself this season.*

Do you own a bike?*

Yes
No

Bike Make and Model*

Do you own a bike trainer?*

Yes
No

Bike Trainer Make and Model*

Do you own a heart rate monitor?*

Yes
No

Heart Rate Monitor Make and Model*

Do you own a training watch?*

Yes
No

Training Watch Make and Model*

Do you have a USAT annual membership?*

Yes
No

What pool do you have access to and if open water access, how often?*

What are you hoping to get from a triathalon coach?*

If you had any animal tail connected to your body for the rest of your life, what animal tail would it be and why?*

If you could have only one superpower, what would it be and why?*

Anything else I don’t know that I should know?*

Triathlon Coaching

Choose the number that best describes your current level of skill in the following:

Contact Think Shrink

Phone

Email

Address