New Athlete Questionnaire

Name *

First

Last

Email *

Gender

Male
Female

Occupation

Height *

Weight

What you weigh right now, if known.

Age *

Shirt Size

Present, not desired

How did you hear about us? *

If someone referred you, who should we thank?

What is your main sport? *

Cycling
Running
Multisport
Other

What is the #1 reason you are looking into hiring a coach?

If we sat down 3 years from now, what athletic, health, and fintess goals would need to have happened to consider your training a success?

What are 2-3 short term goals (3-6 months from now) that would put you on the path of achieving your long term success? Be realistic and think in terms of numbers instead of event goals.

Please list any events (with dates) that you are already registered for, and those in which you are considering registering for. Please also mark the 1 or 2 that are of highest priority to you.

What are the known potential road blocks in your life that could prevent you from achieving your goals?

What are your sleeping habits?

How long, how well?

What are your living arrangements

Family? Kids? Pets?

What is your work life like?

Stress levels, hours per week, travel, etc.

Please describe your training history

How long you've been training, how consistent, what types of training, other activities you still enjoy.

In the past 3 months, how many days per week are you active?

0
1-2
3-4
5-6

What is your normal training week like?

Be honest

Where do you train?

Indoor at home
Outside
Commercial gym

Pick all that apply

What strength training equipment do you have at home?

Pick all that apply

What days of the week are best for longer workout sessions? (2+ hours)

What days of the week are best for doing multiple shorter workout sessions?

What days of the week are tough to get anything in?

What monitoring devices do you poses?

Pick all that apply

Please list any recent longest efforts to help gage a starting point (longest swim, bike, run, etc)

Within the last 30-60 days

Please list any supplements and/or medications you are on

Do you have any present injuries or physical limitations?

Is there anything else your coach might need to know about you that would help them be a better coach to you?

If you plan on racing, are you taking any substances (prescribed or not) that are banned for competition? (If you are unsure, please list any substances in question so your coach can make sure they are approved for competition) *

Do you agree that you are healthy enough to take on a training regimen? *

I agree

Do you agree to accept the inherent risks of the sports of swimming, cycling, and running, and that you are taking on a training regimen under your own free will? *

I agree

Do you agree to hold all BPC coaches and affiliates harmless should you sustain some sort of injury, loss, damage, or death? *

I agree

Fax Now: (925) 132-4545

TRUST YOUR TRAINING

info@buildpeakcompete.com

HOP Cycling Registration is Open!