Athlete Questionnaire Athlete Information First & Last Name Date of Birth Coaching Package -Select One- Undecided Steel Titanium Carbon Address Line 1 Address Line 2 Address Line 3 City State Zip/Postal Code Country Telephone Email Height Weight Athlete Profile Strengths 1 Strengths 2 Strengths 3 Weaknesses 1 Weeknesses 2 Weaknesses 3 Short Term Goal 1 Short Term Goal 2 Short Term Goal 3 Important Event 1 Important Event 2 Important Event 3 Long Term Goal 1 Long Term Goal 2 Long Term Goal 3 Training Availability Monday Tuesday Wednesday Thursday Friday Saturday Sunday Additional Information Do you have other physical or recreational hobbies? Is your work strenuous? Describe your history of injuries or any health related matter that may affect your ability to train at strenuous levels. Do you have chronic injuries that your training may have to planned around? Do you wear orthotics in your cycling shoes or wedges under your cleats? Describe. Describe your favorite cycling workout. Describe your favorite running workout (if applicable). Describe your favorite swimming workout (if applicable). Do you own a heart rate monitor? -Select One- Yes No Do you own a power meter? -Select One- Yes No Do you have access to a pool? -Select One- Yes No Do you swim with a group? -Select One- Yes No Do you own or have access to an indoor trainer? -Select One- Yes No Do you have access to a treadmill? -Select One- Yes No Personal Rating Please rate yourself on a scale of 1 to 10 in the following areas. (1 = poor - 10 = outstanding) Endurance -Select One- 1 2 3 4 5 6 7 8 9 10 Explosive Power -Select One- 1 2 3 4 5 6 7 8 9 10 Sustained Power -Select One- 1 2 3 4 5 6 7 8 9 10 Motivation -Select One- 1 2 3 4 5 6 7 8 9 10 Pain Tolerance -Select One- 1 2 3 4 5 6 7 8 9 10 Commitment -Select One- 1 2 3 4 5 6 7 8 9 10 Flexibility -Select One- 1 2 3 4 5 6 7 8 9 10 Core Strength -Select One- 1 2 3 4 5 6 7 8 9 10 Recovery -Select One- 1 2 3 4 5 6 7 8 9 10 Please Tell Us... How did you hear about Cadence Cycling and Multisport? Select -Select One- Cadence Website Google Saw/Stopped In Store Location Word of Mouth Other Other Cycling Club/Team Keep this field blank
