3433 Customized Coaching Intake Form

Personal Details

Full Name

Phone Number

Sport

Address

Address Line 1

Address Line 2

City

Province

Postal Code

Goals and Expectations

Personal Goals & Objectives:

What are you expectations of our Customized Coaching services?

When would you like to start training?

Describe what your perfect race would be like:

Based on your previous competitive season (or historically), what do you feel you need to improve on to become a better athlete and achieve your goals?

Have you followed a structured training program before? If so, please describe it:

Current Training

Please outline your current training program or routine:

List any limitations or restrictions you have that could influence your training program. Examples: work, travel, getting married, expecting a baby, family, etc)

Are there any days of the week you can not or will not train? If so, please list them:

Monday

Tuesday

Wednesday

Thursday

How much time can you commit to regular training for each day of the week? Please list each day and amount of hours per day.

Total training hours per week you can commit to:

Describe any injuries you currently have and any previous injuries that have limited your training/performance:

Describe what you feel are your strengths and weaknesses and/or areas you wish to improve on (physical, mental, nutritional, etc):

Describe any resistance training you have done in the last 3 months:

List your upcoming season events/dates in order of priority:

Friday

Saturday

Sunday

Training Equipment

Check off any of the following pieces of training equipment you have:

Additional Comments: