Cadence Athlete Questionnaire
To save your time when you come to visit the Performance Center we've made these forms available online. Please complete all sections and submit to Cadence. This will help us help you to achieve your athletic goals. Please note that fields marked with an * are required.
Athlete Infomation
NAME:  * ADDRESS LINE 1:  *
DATE OF BIRTH:  * ADDRESS LINE 2:
COACHING PKG: ADDRESS LINE 3:
TELEPHONE:  * CITY:  *
FAX: STATE/PROVINCE:  *
EMAIL:  * ZIP/POSTCODE:  *
HEIGHT: COUNTRY:  *
WEIGHT:   
Athlete Profile
  Your STRENGTHS
1.  
2.  
3.  
  Your WEAKNESSES
1.  
2.  
3.  
  Your SHORT TERM GOALS
1.  
2.  
3.  
  List IMPORTANT EVENTS
1.  
2.  
3.  
  Your LONG TERM GOALS
1.  
2.  
3.  
Training Availability
Please list the number of hours you will typically be available to train.
  MON. TUES. WED. THUR. FRI. SAT. SUN.
Morning
Evening
Additional Information
Do you have other physical or recreational hobbies? Is your work strenuous?
Describe your history of injuries or any health related matters that may affect your ability
to train at strenuous levels. Do you have chronic injuries that your training may have to be
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? What type?
Do you own a power meter? What type?
Do you have access to a pool?  
Do you swim with a group?  
Do you own or have access to an indoor trainer? What type?
Do you have access to a treadmill?  
Personal Rating
Please rate yourself on a scale of 1 to 10 in the following areas
(1 = poor - 10 = outstanding)
  Choose a number Additional comments
Endurance
Explosive Power
Sustained Power
Motivation
Pain Tolerance
Committment
Flexibility
Core Strength
Recovery
Please Tell Us...
How did you hear about CADENCE Performance Cycling Centers - Philadelphia?
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