Athlete Intake

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Preferred Communication Method

Phone

Text Messages

Birthday

YYYY

Health History

Are you currently taking any medications and/or supplements? If yes, please list medication name, dose, frequency of use, and reason for taking.

Do you have any allergies? If yes, please list.

Please describe current and past medical history.

Major illnesses, surgeries, or past injuries and/or medical problems.

Have you ever had a heart condition, chest pain, high or low blood pressure, dizziness, recent surgery, or pregnancy?

If yes, please describe.

Have you experienced any emotional or mental health concerns that may affect your training?

If yes, please describe.

Nutrition

Describe a typical day of nutrition.

Do you have any specific nutrition goals?

If yes, please describe.

Do you utilize pre-, intra-, or post-workout nutrition?

If yes, please explain.

Athletic History

What is your triathlon or running experience (beginner, intermediate, advanced)? Have you completed a triathlon or road race before?

If you have raced triathlon/running/cycling, what are your personal records in races and their corresponding distances?

Have you used a training plan or worked with a coach? If so, how many hours a week did you train?

Have you previously incorporated strength training in your workout?

Yes

Have you ever experienced overtraining symptoms (chronic fatigue, lack of improvement in performance, etc.)?

If yes, please explain.

Current Fitness

Describe your current weekly training/fitness regimen. Include all activities and time commitment.

What is your ideal time commitment per week for training?

What fitness equipment do you own and/or what access do you have to equipment?

Examples: Swimsuit, googles, wetsuit, running shoes, bike (type of bike), indoor bike, trainer, treadmill, weights, bands, and a local gym? Please list all that apply.

Do you own a tracking watch? If yes, what brand?

Do you own a heart rate strap? If yes, what brand?

List your upcoming race schedule:

What are your race goals?

What's your max heart rate in the past 1-3 months?

Run and Bike

What is the duration and distance of your longest swim, bike, and run in the past 1-3 months?

Best Case Scenario:

For example: rest day, two swim days, long run day, long bike + run day.

Athlete Intake

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