Client Intake FormPlease review the My Services page before filling out this form. Name * First Name Last Name Email * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Birthday * MM DD YYYY What services are you interested in? * Single-Sport Multi-Sport Load & Go What long term goals do you have? * What is your biggest challenge to "work around"? * What do you enjoy most about training or racing? * What do you enjoy least about training or racing? * What race or event do you plan to complete in the next 6-12 months? * When? * MM DD YYYY What race or event do you plan to complete in the next 6-12 months? Additional races/events & dates. What 3-5 goals do you have for the next 6-12 months? * Things you can control. Can be sport or non-sport related. List 3 expectations you want me to fulfill as your coach. * What can I expect from you as an athlete? * How many hours of training per week is "too much"? * How many days of training per week is "too much"? * How many hours of training at minimum are you willing to commit to per week? * What is your preferred training structure? * Consistent weekly routine Varied weekly routine Doesn't matter to me! Other If other, please explain: On recovery days, what other activities do you enjoy? Please list at least 2. * Hiking, walking, biking, running, yoga, pilates, swimming, etc. What days do you prefer to rest? * Monday Tuesday Wednesday Thursday Friday Saturday Sunday Do you already have built in workouts in your schedule? If so, when? * Masters swims, run groups, bike rides, etc. Running Section Only required for triathlon athletes or if you will be running as a recovery method. What is your longest run in the last 6 months? What is your typical pace/mile? Please specify distance. 5k, 10k, half, full, 1 mile time trial, etc. Do you have access to an outdoor oval track? Yes No Where do you prefer to run? Inside Outside Doesn't matter to me! Please list any relevant injury history/current health concerns below. How would you describe your daily nutrition/diet? How would you describe your training fueling strategies? How would you describe your quality of sleep? 1 - Awful; 5 - Restorative 1 2 3 4 5 How much sleep do you average per night? Less than 4 hours 4-6 hours 6-8 hours More than 8 hours Swimming Section Only required for triathlon athletes or if you will be swimming as a recovery method. What is your longest typical swim in a set? Specify distance in yards, meters, or miles. What is the longest you have ever swam in a single session? Time or distance What is your typical pace? Min/100yd Where do you plan to swim? Pool Open-water river Open-water lake Open-water ocean Endless pool Other If other, please specify. What swim gear do you have access to? Fins Paddles Swim bouy Kick board Snorkel Wetsuit None Biking Section Only required for triathlon athletes or if you will be biking as a recovery method. What type of bike do you have? Road bike Mountain bike Hybrid bike Gravel bike TT bike Stationary What bike equipment do you have? Smart trainer Dumb trainer Rollers Bike computer Membership to Zwift, Rouvy, Trainer Road, etc. What is the longest bike ride you have ever ridden to date? What is your typical pace on a bike? Do you have a power meter? If yes, what kind? Do you know your FTP? Where do you prefer to ride? Indoor Outdoor What else should I know about you? * Thank you for completing the Client Intake Form. I will review your information and be in touch shortly!
