Athlete Questionnaire - Salt Lake Tri Club

Name*

First and Last

Email*

Phone Number*

Birth Date*

Height and Weight

Married
Kids
Fur Babies
Employed Full-Time
Employed Part-Time
Self-employed
Not employed but looking for work
Not employed and not looking for work
Homemaker
Retired
Student
Prefer Not to Answer

How did you hear about our coaching services? (please be specific)

Emergency Contact Information

Name and Phone number

Any special medical needs or info that the coaches should be aware of?

ATHLETIC HISTORY

Please list the sports and activities in which you have participated most often throughout your life. Include duration participated, how long ago, how competitive you were, and any other comments.

List your best (or favorite) race results, events, times, place, conditions, and so on.

On average, how many miles or hours per week did you train in the last year?

Have you ever had Triathlon/Running/Endurance Coach?

YES
NO

If "Yes" What did you like and dis like about the coaching experience?

Have you ever done any strength resistance training?

YES
NO

If yes, was it a specific program/class?

Would you like to continue said program/class?

YES
NO

Do you think it helped your performance?

YES
NO

Do you feel you have ever “overtrained”? If yes, please describe the type and amounts of training you were doing at the time.

Do you have any chronic injuries from any sport or activity that may flare up or should be taken into consideration in developing your training plan?

What do you feel are your strengths and weakness as an endurance athlete?

CURRENT FITNESS LEVEL INFORMATION

What is your resting heart rate?

What’s the highest heart rate you’ve had while Running?

What’s the highest heart rate you’ve had while Cycling?

Rate your current fitness level 1-5

5 being the best, 1 being the worst

Describe your current training week?

Is this more, less, or the same as a normal training week for you?

MORE
LESS
SAME

Describe your longest single workout Swim, bike, and Run in the last three months. (Distance or Time)

How many hours per week do you spend training right now?

How have you trained in the past?

Self-trained, online/published plan, other coaching services, etc.

Please list exactly when and how much time you have available for training?

Example: Monday morning 2 hours Tuesday evenings 2 hours Wednesday OFF Thursday lunch time 1 hour...ect.

Do you have a specify preferred rest day(s)?

Are you currently recovering from any injury or illness? Explain

PHYSICAL ACTIVITY READINESS QUESTIONNAIRE

Has a doctor ever said that you have a heart condition and recommended only medically supervised physical activity?

YES
NO

Do you have a bone or joint problem that could be aggravated by the proposed physical activity?

YES
NO

Are you aware, through your own experience or a doctor’s advice, of any other physical reasons against your exercising without medical supervision?

YES
NO

Please explain any ‘Yes’ answers in the space below

RACING AND PERFORMANCE GOALS

LIST BELOW ALL THE EVENTS YOU PLAN ON POSSIBLY COMPETING IN THIS YEAR. I UNDERSTAND THIS SCHEDULE IS SUBJECT TO CHANGE (IN FACT, WE MAY SUGGEST YOU CHANGE IT). PLEASE NOTIFY ME IF THIS SCHEDULE DOES CHANGE.

HIGH PRIORITY EVENTS (A RACES)

These are the most important events of the racing season to you. There should be only a few of these because we will design your training schedule to taper and peak for them. Date Event Distance(s) Goal Time / Place

MEDIUM PRIORITY EVENTS (B RACES)

These are the events you want to do well, but are not the focus of your season. We may rest for these events, but usually they will be thought of as race pace “workouts” to sharpen up for the high priority events. Date Event Distance(s) Goal Time / Place

LOW PRIORITY EVENTS (C RACES)

These are the events of least importance to you. They are “fillers” to your season and you will most likely compete for fun and for a good workout. Do not include too many of these events, however, as they may detract from the focus of your season. Date Event Distance(s) Goal Time / Place

EQUIPMENT AND OTHER INFORMATION

Do you currently have a Training Peaks account?

YES
NO

Do you currently have a Strava account?

YES
NO

Do you currently have a Zwift account?

YES
NO

Do you own or have access to the following?

Your Goals

What are your goals for the season and a training program?

At the end of this month how will you judge if your training plan is working?

At the end of this season how will you judge if this training plan was successful?

Why do you train and compete in Endurance Sports (be honest)?

Do you perfer billing wise...

Monthly
6-Months
Other