Yoga Questionnaire This is the content Questionnaire Personal DetailsName* First Last PhoneEmail* Enter Email Confirm Email Address Street Address Address Line 2 City County / State / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Date of Birth dd mm yyyy Racing Age GroupGenderOccupationHeightWeightNormal Working HoursWork Stress LevelsHighAverageLowTypical Work TravelPlease describe and highlight regular or occasional short or long haul flying, details of daily commuteCan you combine a daily commute with training?Sleep hours per nightPlease enter a number from 0.0 to 24.0.Do you generally sleep?WellAverageBadlyFamily members and ages of any childrenTriathlonStrongest Triathlon DisciplineSwimBikeRunWeakest Triathlon DisciplineSwimBikeRunBest Result at Sprint DistanceIn last 12 months - Include split timesBest Result at Standard DistanceIn last 12 months - include split timesBest Result at 70.3 DistanceIn last 12 months - include split timesBest Result at Ironman DistanceIn last 12 months - include split timesOutcome Goalseg. qualify for World ChampionshipsPerformance Goalseg. go sub 2hrs30 for Standard distanceSwimmingHow does your swimming compare with your age-group competition?Personal Best time for 400m SwimPersonal Best time for 1500m SwimPersonal Best time for 1900m SwimPersonal Best time for 3800m SwimDo you know your Critical Swim Speed?What are your swimming strengths and weaknesses?What 3 elements of your swim would you most like to improve?CyclingHow does your cycling compare with your age-group competition?Personal Best time for 10 mile cyclePersonal Best time for 25 mile cyclePersonal Best time for 90km cyclePersonal Best time for 180 km cycleDo you know your Functional Threshold Power?What are your cycling strengths and weaknesses?What 3 elements of your cycling would you most like to improve?RunningHow does your running compare with your age-group competition?Personal Best time for 5 km runPersonal Best time for 10 km runPersonal Best time for a Half MarathonPersonal Best time for a MarathonWhat are your running strengths and weaknesses?What 3 elements of your running would you most like to improve?TrainingHow many hours of training do you consistently complete each week?TotalHow many hours of training do you consistently complete each week?SwimmingHow many hours of training do you consistently complete each week?BikingHow many hours of training do you consistently complete each week?RunningHow many hours of training do you consistently complete each week?Other (eg. Strength & Conditioning)Do you take regular rest days?If Yes, how often?Do you have planned recovery weeks?If Yes, how often?Please outline any club sessions that you have access to/attend regularly.Give days and timesDo you include strength training in your programme?If Yes, how often?Do you train at home or at a gym?If at home, what equipment do you have?Injuries and IllnessOutline any current injuries or illnessesOutline any significant injuries and illnesses you have had previouslyNutritionHow would you rate your knowledge of nutrition?How would you rate your current diet?Outline why?Do you have any special dietary requirements?Facilities and EquipmentWhat swimming do you have access to? Pool Endless Pool Open Water What type of bike do you have access to? Road Triathlon/Time-trial Mountain-bike Other What Indoor Bike Trainer do you access to? Turbo Rollers Smart Trainer None For run training do you have access to? Track Treadmill What gadgets do you have?eg. GPS, HRMDo you upload your training to? Training Peaks Garmin Connect Strava Other CoachingWhat help and assistance are you looking for from your coach?eg. Structure, accountabilityThe number one challenge in achieving my triathlon goals is?If you were to review your progress in 12 months -- what would you see as constituting a successful year?Please list any preferred/regular training times in each sport and any times when you are unable/prefer not to traineg. Monday pm Club Swim 1 hour, Friday Preferred Day Off, Sunday am Bike Ride with group (2.5-3hrs)Where did hear about our coaching services?CAPTCHA
