Initial Athlete Questionnaire

Email

What is your full name?

Date of Birth

What is your address?

What is your main objective when training?

How did you hear about me?

What is your height?

What is your current weight?

What is your Functional Threshold Power (FTP in Watts) (if known & date tested)

What is your VO2 Max (ml/kg) (if known & date tested)

What is your Body Fat %? (if known & date tested)

Do you have any medical conditions or injuries that might affect your performance?
YesNo

If you do please describe

Are you currently taking any medications?
YesNo

If you do please describe

Please explain your athletic background

Have you been coached before? (if yes, who were your past coaches?)

List and describe the training you have done in the last 30 to 90 days. Please include factors like hours of training per day/week, interval sessions you have completed, what are your rest days, how did you prepare for your past races (if any), when have you done group rides, and other information you can think of (if you have a excel sheet or other file with this information you can upload it below)

How many years have you raced and/or trained for?

What races (with results) did you complete this/last season?

What races/events do you plan on participating this year? Please list date, event name and brief description of the event & its course (if known). Please rank their priority for you as: RACE A - Most Important, RACE B - Somewhat Important, RACE C - Training Event/Gran Fondo

What is your current race/event age group/ category and how do you feel in it?

How many hours per week do you have available to train?

What is your current availability schedule for training?

What are your training goals (Both short and long term)

How many hour per week do you work or go to school for?

What is the main area(s) that you want to improve from training?

What do you think has stopped/slowed your improvement in the past?

Phone Number

What equipment do you currently have available?

Heart Rate MonitorPower MeterElevation MaskIndoor Trainer (No Power Meter)Indoor Trainer with Power MeterAccess to GymWeightsPool

Do you currently have an account with Training Peaks?
YesNo

What is your resting heart rate?

What is your maximum heart rate?

Have you had a physical done in the last year?
YesNo

Were you cleared to participate in sports?
YesNo

Do you take any supplements?

Have you ever fainted, felt dizzy or extremely out of air after exercising?
YesNo

What do you expect from me as your coach?

Any additional comments?

What is your current team & sponsors (if any)

USA Cycling Racing License #

Parent Information (if athlete is under 18) (name(s), email(s), phone(s), best way to communicate)

Upload Files (picture of athlete and any other files)