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Podium Endurance Athlete Assessment
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* Indicates required question
Name
*
Your answer
Email
*
Your answer
Phone Number
Your answer
Date of Birth
Weight
Your answer
Height
Your answer
Any health related issues?
*
1 point
Your answer
Occupation
*
Your answer
How many years have you been cycling or racing?
Your answer
What areas of cycling/racing do you consider strengths?
Your answer
What areas of cycling/racing do you consider weaknesses?
Your answer
What are your long term goals and to what level of racing to aspire?
Your answer
What are your short term goals? What do you want to accomplish this and next season?
Your answer
What are your priority events or goals? (Full list)
Your answer
Describe your training over the past 3 months and if you use a heart rate monitor and/or power meter
Your answer
Describe your current schedule and the times that are particularly convenient for you to workout
Your answer
How many weekly hours do you have to train? Be realistic
Your answer
What other athletic activities do you like to do?
Your answer
What are your training environment like? Hills, flat, weather, traffic, etc.
Your answer
What is your knowledge of nutrition? (On and off the bike)
Your answer
List any past or current injuries and any limitations you currently have
Your answer
Have you worked with a coach before? If so, please describe (include likes/dislikes)
Your answer
What expectations/desires do you have from your coach? What do you want to get out of the coach/athlete relationship?
Your answer
What coaching level are you interested? (Monthly) - See website for levels
*
Level 1- $195
Level 2- $225
Level 3-$275
Are you committed to working with a coach year round?
Yes
No
Clear selection
When are you interested in starting?
Your answer
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