Yoga Questionnaire

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Questionnaire

Personal Details
Name*
First Last
Phone
Email*
Enter Email Confirm Email
Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Date of Birth

dd
mm
yyyy
Racing Age Group
Gender
Occupation
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Height
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Weight
Normal Working Hours
Work Stress Levels
Typical Work Travel
Please describe and highlight regular or occasional short or long haul flying, details of daily commute
Can you combine a daily commute with training?
Sleep hours per night
Please enter a number from 0.0 to 24.0.
Do you generally sleep?
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Family members and ages of any children
Triathlon
Strongest Triathlon Discipline
Weakest Triathlon Discipline
Best Result at Sprint Distance
In last 12 months – Include split times
Best Result at Standard Distance
In last 12 months – include split times
Best Result at 70.3 Distance
In last 12 months – include split times
Best Result at Ironman Distance
In last 12 months – include split times
Outcome Goals
eg. qualify for World Championships
Performance Goals
eg. go sub 2hrs30 for Standard distance
Swimming
How does your swimming compare with your age-group competition?
Personal Best time for 400m Swim
Personal Best time for 1500m Swim
Personal Best time for 1900m Swim
Personal Best time for 3800m Swim
Do 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?
Cycling
How does your cycling compare with your age-group competition?
Personal Best time for 10 mile cycle
Personal Best time for 25 mile cycle
Personal Best time for 90km cycle
Personal Best time for 180 km cycle
Do 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?
Running
How does your running compare with your age-group competition?
Personal Best time for 5 km run
Personal Best time for 10 km run
Personal Best time for a Half Marathon
Personal Best time for a Marathon
What are your running strengths and weaknesses?
What 3 elements of your running would you most like to improve?
Training
How many hours of training do you consistently complete each week?
Total
How many hours of training do you consistently complete each week?
Swimming
How many hours of training do you consistently complete each week?
Biking
How many hours of training do you consistently complete each week?
Running
How 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 times
Do 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 Illness
Outline any current injuries or illnesses
Outline any significant injuries and illnesses you have had previously
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Nutrition
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How would you rate your knowledge of nutrition?
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How would you rate your current diet?
Outline why?
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Do you have any special dietary requirements?
Facilities and Equipment
What 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, HRM
What computer do you use?
- Mac
- Windows
- Other
Do you upload your training to?
- Training Peaks
- Garmin Connect
- Strava
- Other
Coaching
What help and assistance are you looking for from your coach?
eg. Structure, accountability
The 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 train
eg. 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?
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