2024 season Athlete History Questionnaire

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Please read thoroughly and fill out all required fields and sign.

Athlete's First Name *

Athlete's Last Name *

Primary Email Address *

Primary Phone Number *

Street Address *

City *

State/Province *

Postal/Zip Code *

Date of Birth *

YYYY

Height *

Weight *

Resting Heart Rate *

Resting Blood Pressure *

List any Medical Conditions / Chronic Conditions you have *

List of Medications you take *

List of Allergies *

Any Injuries or Surgeries you want me to be aware of? *

Have you played any coached sports? Please elaborate. *

Have you had a triathlon coach before? If yes, please elaborate the reason the relationship ended. *

Please list below any triathlon race(s) you have done and if possible, include your finishing time. *

How often do you swim and for how long each time? *

Do you own a wetsuit and an open water swim buoy? *

Yes

Are you comfortable with open water swimming? If not, please explain your challenges. *

Do you own a triathlon watch? If yes, which one do you have? *

Do you own a bike? If so, which type? *

Are you comfortable clipping in and out of your bike? If so, which type? *

Yes

Do you own a smart trainer? i.e. Wahoo Kickr *

Yes

Are you comfortable in the aero position? *

Yes

Other:

How often do you ride? How long are each session for both indoor and outdoor rides? *

How often do you run? For how long? *

Do you own a treadmill or have access to one? *

Yes

Do you own any form of strength training equipment or have access to some? Please list them. *

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