Athlete Interview Form

This interview form will provide your coach with the necessary information to build you a comprehensive training plan. Please be as thorough as possible. Once you submit the form you can not edit it, so fill it out completely before submitting.

Personal Information

Name *
Email *
Phone
Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Birth Date *
Gender *
MaleFemale
Weight *
Height *
Marital Status *
MarriedSingle
Children?
Yes
Occupation
Work and School hours per week? How many hours a week do you work, school or other activities that keep you from training?
Racing Class *What class are you current racing in? Pro, Expert/Cat1,Sport/Cat 2, Beginner/Cat3 etc?
When would you like to start? Provide a date when you would like to start.
Coaching Program *Which coaching program best fit your needs.

Time available for training each day:

Monday *Please enter how much time you have work workouts on this day?
Tuesday *Please enter how much time you have work workouts on this day?
Wednesday *Please enter how much time you have work workouts on this day?
Thrusday *Please enter how much time you have work workouts on this day?
Friday *Please enter how much time you have work workouts on this day?
Saturday *Please enter how much time you have work workouts on this day?
Sunday *Please enter how much time you have work workouts on this day?
Current hours per week? *
Please enter the number of hours you have done each week for the last 6 - 8 weeks to give me an idea of your fitness. Enter any comments about fitness. Enter any other information that may be helpful about your workouts during the same period.

Equipment

Do you have a trainer or stationary bike? *Enter brand and model
Bikes *
Road BikeMountain BikeSingle Speed Mountain Bike
Have you had a professional bike fit? *
Only pertains to the bikes you are currently riding?YesNo

Fitness

How many years have you been racing?
How many years have you been an endurance athlete?
Do you own a Heart Rate Monitor? Enter Model.
Do you know your LTHR? Enter your Lactate Threshold Heart Rate value
Do you own a Power Meter? Enter Model
Do you know your FTP? Enter you Functional Threshold Power value

Medical

Medical conditions *
Please list any medical conditions I should be aware of. Include recent injuries, allergies, or other conditions. This information is kept confidential.
Medication
Please list any medication you are on.

Goals

How can the coach help?
Describe what you are looking for from a coach and what your expectations are from the coaching experience.
Imporantance of a coach. *
What do you want most from a coach? Check all that applyAccountabityAnalysis and FeedbackCheerleaderRace Planning and ExecutionStructured WorkoutsRegular Communication
Monthly, Annual, Lifetime Goals *
List the goals you are working toward with your cycling.
Race Schedule *
Please list the races you have scheduled. Enter Date, race priority as A,B,C (A as goal race), and estimated finish time. One line per race please.

Nutrition Assesment

Describe your diet
Post Ride Fuel
What food and drink do you use prior to a ride and race? How many hours do you ride/race after you eat? List how much and any specific brands?
During Ride Fuel
What food and drink to you use during your rides and races? How much and which brands?
Recovery After Hard workouts or Races
Describe how you feel after hard workouts or races. How many days before you feel you have full strength again.
Recovery Routine
Describe what methods you use to recover after workouts and races.
Additional information
Please enter additional information you would like to share or make me aware of.
Date

Verification

Please enter any two digits with no spaces (Example: 12) *
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