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Athlete Questionnaire


Name
Phone

YOUR DETAILS

= REQUIRED FIELD

Name:

Date of Birth:

Address:

City/Suburb:

State & Postcode:

Country:

Phone:

Mobile:

Fax:

Email Address:

Height & Weight:

cm kg

Coaching Package:

ATHLETE PROFILE

Your Strengths:

1. 2. 3.

Your Weaknesses:

1. 2. 3.

Short Term Goals:

1. 2. 3.

Long Term Goals:

1. 2. 3.

List realistic goals that you would like to achieve over these time periods:

1 Month:

3 Months:

6 Months:

1 Year:

3-5 Years:

TRAINING SCHEDULE

Please describe your typical training week.

Last Winter Last Summer

Hours/km
(Average week)

Weights (Casual, Serious..) How Often?

Structured Intervals (Sprints, Hill rpts..)

Number of Races:

Training Availability: Please list the typical hours you will have available to train

	Mon	Tues	Wed	Thurs	Fri	Sat	Sun
AM
PM

ADDITIONAL INFORMATION

Do you have other physical or recreational hobbies? Is your work strenuous?

Describe your history of injuries or any health related matters that may affect your ability to train at strenuous levels. Do you have chronic injuries that your training may have to be planned around?

Do you wear orthotics in your cycling shoes or wedges under your cleats? Describe:

Describe your favorite cycling workout:

Are there any training groups you normally like to go out with? If so what time do they meet and what is the average perceived hardness of the ride?

Do you have a heart rate monitor?

Do you own a power metre?

Do you have short, steep hills (1-2min in riding time) where you train?

Do you have long hills (5+min in riding time) where you train?

Do you have an uninterrupted flat section of road 5 km in length?

Do you own or have access to a wind trainer?

Do you own rollers?

PERSONAL RATING

Please rate yourself on a scale of 1 to 10 in the following areas (1 = poor - 10 = outstanding)

Rating Additional comments

Endurance:

Speed:

Strength:

Motivation:

Pain Tolerance:

Committment:

Flexibility:

Core Strength:

Recovery:

Positive Attitude:

Tactics:

What is your most likely competition schedule over the next 6 months? Prioritise these competitions into a level of importance (e.g. 1 to 10 with 1 being a major race or ride and 10 being no importance at all)

Date	Race	Priority

PLEASE TELL US...

How did you hear about Cadence Cycling?

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