INTAKE
FORM

New Athlete Intake Form

Name

Email

Age / Height / Weight

Phone

What is your fitness / exercise history? What do you feel are your strengths and weaknesses?

What are your goals for working with a coach and for the season?

If you race, what types of races will you focus on?

Do you have any injury history?

Do you currently train with a power meter?

Yes No

Do you currently train with a heart rate monitor?

Yes No

Do you currently own an indoor trainer? Smart Trainer?

Yes No Yes, Smart Trainer

What days of the week do you work and for how long each day, if applicable?

What is your training availability hour/s per day? (Please list each day individually)

What do you currently do for your weekly exercise routine? Please list each day individually. What are your favorite and least favorite workouts?

How many bike(s) do you own? What types are they?

What fitness tracking applications do you use (TrainingPeaks, Strava, My Fitness Pal, etc), if applicable?

What workout software do you use (Zwift, The Sufferfest, etc), if applicable?

Did I miss anything, or is there anything else you would like to tell me?

What is your ideal relationship with a coach?

What is your preferred method of contact?

Phone E-mail Text Other

Send

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