Questionnaire

1
Name:
2
Age:
3
D.O.B:
4
Sex:
5
Occupation:
6
Address:
7
Tel no (home):
8
Tel no (work):
9
Tel no (mobile):
10
Fax no (work):
11
Email address:


 

12
Height:
13
Weight:
14
How long have you been doing triathlons and to what level?
15
How many hours do you train per week on average?
16
How many rest days do you take per week and what is your preferred day/s?
Training Time – How many hours a day are you free to train and at what time during the day:
17
Monday
18
Tuesday
19
Wednesday
20
Thursday
21
Friday
22
Saturday
23
Sunday
24 Current Training (over the past 2 months) – Please indicate your typical training week and provide as much detail as possible about the type of training and length of training that you have been doing.
 
25 What is the longest individual session that you have ever run, cycled or swam?
26 Duration – What is the biggest training week do you remember doing, please list the times/distances for each sport?
 
27
What would you say is your weakest discipline?
28
What would you say is your strongest discipline?
29
Have you ever overtrained?
30
Are you involved in any other sports?
31
Do you keep a detailed training diary?
32 Please detail specific group sessions which you would like incorporated into your schedule: eg Club swim sessions, Group bike rides - give day, duration, normal intensity:
 
33 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:
 
34
Are these recurrent or one-off injuries?
35
Do you use any form of strength training?
36
What were your goals for last season?
37
Which did you achieve?
38 Short and Long Term Goals – specifically for the next 3 months, 12 months and 3 years. Also if you have goals for each discipline (swim, bike, run) please list them.
 
39 Races - Please list the races that you plan on doing in the next 3-6 months (including the date and distance and how important the race is to you - "A" indicates a major goal for the year, one that is very important, "B" a race that you may want to focus on for one discipline, just semi-important and "C" one that you would consider a training race)
 
40 What are your current personal bests (PB’s) in each distance that you have done (Sprint, Olympic, Half IM, IM)?
 


Do you possess/have access to any of the following equipment (yes in the appropriate box)?
    Possess Have access to
41
Road bike
42
Mountain bike
43
Gym/free weights
44
Swiss ball
45
Heart rate monitor
46
Indoor trainer
47
Pull buoy
48
Fins
49
Kick board
50
Hand paddles

 
51 If there are any questions that I have not asked or any further information which you feel would be useful, such as past training programmes, exercise testing results, diet etc..Please list below:
 
52 Type of training programme required (yes in the box that you would like):
  Programme Only Basic Programme
  Advanced Programme Single Discipline Programme
     


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