Name:

Age:

D.O.B.

Sex:

Occupation:

Address:

Tel no (home):

Tel no (work):

e-mail address:

Normal working hours?

Height:

Weight:

Body fat %
(if known)

Resting heart rate:

Maximum heart rate in
each discipline:

Swim:

Bike:

Run:

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?

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?

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   

Monthly rolling
programme