New Athlete Questionnaire

Please fill out the following form to sign up.
*Denotes required answer

Name*

Employer

Address*




Mobile*

Email*

Date of Birth

Gender*

How did you hear about PR Endurance Sports?

What service are you interested in?*

History
How many years have you been participating/competing in this sport?

How many races/meets have you participated/competed in?

Previous Training/Racing Clubs
Have you ever been part of another training team/club?

If "Yes" - which team/club:

Coaching History
Have you been coached in the past?

If "Yes", who was your coach?

Indicate the Group Workouts you are able to attend regularly
Tuesday Track - Lamar High School 2 6:30 PMWednesday Cycle/Run Brick - WestU Fitness @ 6:45 PMSaturday Long Run - Memorial Park - Time dependent on seasonSaturday Group Swim - JCC @ NoonSunday Group Bike - La Centera Parking Garage - Time dependent on season

If No - please share why.

Rank your priorities for improvement from 1 to 11.

Agility
Endurance
Form
Knowledge
Speed
Strategy
Strength
Weight Gain
Weight Loss
Not Applicable
Other (please specify)



Testing History
Please indicate if you have had any of the following done.
Basal Metabolic Rate

Blood Lactate Threshold

Body Composition

Functional Threshold Power

Stress Tests

Sweat Tests

VO2 Max

Current Abilities
As a whole, rate your swimming abilities (efficiency, endurance, form, power, speed)

As a whole, rate your cycling abilities (efficiency, endurance, form, power, speed)

As a whole, rate your running abilities (agility, efficiency, endurance, form, speed)

Rate your transition abilities

Rate your level of race experience

Rate your level of mental fortitude

Rate your level of motivation

Rate your sleep habits. (Against the recommended 8-10 hrs.)

Rate your DAILY dietary habits

Rate your TRAINING dietary habits

Rate your RACING dietary habits

Rate your overall fitness

Equipment Access
Please check any of the pieces of equipment you have access to.

Training Goals
What are your most important TRAINING goals/milestones this year?*

What are your most important RACING goals/milestones this year?*

What races have you already signed up for or are planning to sign up for this year?*

Is there other information we should know about you or your expectations?*

What matters most to you in a coach?*

List essentials that you would like to gain out of the coach/athlete relationship.*

Coach Preference

Emergency Contact Information
Name*

Phone Number*

Please list any and all medical conditions that may impact your safety while participating in endurance sports. If none - enter "none".*

Have you been cleared by a physician to participate in physically demanding endurance sports?*



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