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Coaching Programme Sign-Up & Analysis Questionnaire

Name:

Age:

D.O.B.

 

Sex:

Occupation:

 

Address:

 

Tel no (home):

Tel no (work):

 

e-mail address:

Normal working hours?

 
         

VITAL STATISTICS

       

Height:

Weight:

 

Body fat % (if known)

Resting heart rate:

 

Maximum heart rate in each discipline:

Swim:

 
   

Bike:

 
   

Run:

 

ABOUT YOUR TRAINING

   

How many hours do you train per week?

 

How many hours do you have available for training each week?

 

Do you ever train twice a day?

If yes, how many days a week?

 

How many rest days do you take per week?

 

How many hours do you spend on each discipline during a week?

Swim:

 
   

Bike:

 
   

Run:

 

What would you say is your weakest discipline?

 

What would you say is your strongest discipline?

 

Have you ever overtrained?

 

Give brief details of your overtraining

 

Do you ever train in other sports as a means of keeping fit?

 

Please detail specific sessions which you would like incorporated into your schedule: eg Club swim sessions, Group bike rides - give day and duration

 
 

Please detail times (in addition to the above) when you have access to specific facilities:  eg Quality pool time, daylight biking opportunities - give day and time available

 
   

Please detail any regular times when you are unable to (or prefer not to) train: eg When you have other commitments or want to have free time for family/friends - give day and duration

 
   

Have you ever suffered from sports related injuries?

 

If yes, please give details:

 

Are these recurrent or one-off injuries?

   

Do you use any form of strength training?

 

If yes, please give details: 

 

How long have you been competing?

   

How many races do you do per year?

   

Do you use some races as training races?

   

Do you compete in sports other than your main one?

   

What were your goals for last season?

   

Which did you achieve?

   

What are your goals for this seasons?

   

What races are you planning to do this season?

   

What are your current personal bests in the sports in which you compete?

   

DIET

       

Do you follow a diet to enhance your sports performance?

 

If yes, please give details:

 

Do you take any form of sports supplements?

Have you ever had your diet analysed? 

   

What is your food intake whilst competing?

 

EQUIPMENT

       

Do you possess/have accesss to any of the following equipment?

   
   

Possess

Have access to

 
 

Road bike

 
 

Mountain bike

 
 

Gym/free weights

 
 

Swiss ball

 
 

Heart rate monitor

 
 

Turbo trainer

 
 

Pull buoy

 
 

Fins

 
 

Kick board

 
 

Hand paddles

 

If there are any questions that we have not asked or any further information which you feel would be useful, please use the space below to add comments:

 
 
   

Type of training programme required:

 

Specific race programme      (cheque required prior to commencement of programme)

 

Monthly rolling programme     (standing order form will be sent with programme)

 

Get started: choose
your coaching plan
Rolling coaching program 1-1 training sessions 1-1 training day

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