Athletic Profile Form Step 1 of 10 10% Date* Date Format: MM slash DD slash YYYY Name* First Last NicknameOccupationGender*MFAge*D.O.B* Date Format: MM slash DD slash YYYY Phone*Email* APPLICANTS ARE ADVISED TO SEEK MEDICAL CONSULTATION AND DOCTOR APPROVAL PRIOR TO PARTICIPATING IN ANY OF THE PROGRAMS OFFERED BY t2coachingPlease fill out enclosed Health History and Waiver and afterwards continue with rest of questionsIs there anything else about your health that you feel I should be aware of?What does coaching mean to you?Please explain what made you decide to look for and seek coaching assistanceWhat would you like to see your coaching focus on: Examples here could be technical skills, workouts scheduling, training a specific aspect of performance, race mindset, race/training nutrition, etc.Select what you look for or seek in a training coachTraining PlanAccountabilityBothDietaryNumber meals/dayCalorie intake (if known)Modified diet/restrictionsFood preferencesDietary supplements (vitamins, herbs, minerals, protein, replacements) Exercise Schedule/AvailabilityMonday - Time AvailableMonday - SwimMonday - BikeMonday - RunMonday - WeightsTuesday - Time AvailableTuesday - SwimTuesday - BikeTuesday - RunTuesday - WeightsWednesday - Time AvailableWednesday - SwimWednesday - BikeWednesday - RunWednesday - WeightsThursday - Time AvailableThursday - SwimThursday - BikeThursday - RunThursday - WeightsFriday - Time AvailableFriday - SwimFriday - BikeFriday - RunFriday - WeightsSaturday - Time AvailableSaturday - SwimSaturday - BikeSaturday - RunSaturday - WeightsSunday - Time AvailableSunday - SwimSunday - BikeSunday - RunSunday - WeightsHow do you gauge your training intensity? Check all that apply. Rate of Perceived Effort Heart Rate Power Other If "Rate of Perceived Effort" was checked, how much?If "Heart Rate" was checked, how do you determine your heart rate trainings zone?If "Other" is checked, please list Triathlon HistoryDate 1st triathlon completedNumber of triathlons completedLongest distance completed (include: what, total time & splits)Other endurance eventsQualifications/HonorsGoals SwimmingYears swimming?Total weekly distanceWeekly frequencyLongest swim (to date)Organized program?Planned workouts?Swim capabilityWhat do you think are your limiters?What do you think are your strengths?What equipment do you own? Wetsuit Goggles Paddles Pull buoy Fins Snorkle Ankle band Resistant bands Watch / clock Heart Rate Monitor Lap counter Metronome Access and type of pool (and length) BikingYears biking?Total weekly distanceWeekly frequencyLongest bike (to date)Organized program? Racing club?Planned workouts?Bike capability (time/distances)What do you think are your limiters?What do you think are your strengths?What equipment do you own?Access to riding (indoor, outdoor)Do you ride in a group? Running Level of Skill (Self-Assessment) [ 1 = Novice / Uncomfortable | 5= Experienced / Comfortable | D/K = Don’t know | N/A = Not applicable ]Do you like to run on roads?12345D/KN/ACommentsDo you have experience with track workouts?12345D/KN/ACommentsDo you like to run off-road?12345D/KN/ACommentsDo you like running hills?12345D/KN/ACommentsAre you able to pace yourself for long distance runs?12345D/KN/ACommentsCan you estimate output effort using RPE (zones 1 - 5)?12345D/KN/ACommentsAre you comfortable with HR monitor?12345D/KN/ACommentsRunning Training HistoryYears running?Total weekly distanceWeekly frequencyLongest run (to date)Organized program? Racing club?Planned workouts?Run capability (time/distances)What do you think are your limiters?What do you think are your strengths?What equipment do you own?Access to running (outside, inside) Strength and ConditioningDescibe your current strength and conditioning program (include organized classes, frequency and duration).Which of the following types of equipment do you have access to? Weight machines Free weights (dumbbells and barbells) Cable machines Elastic resistance (rubber tubing and bands) Medicine balls Kettle bells Suspension trainers Stability balls (including half-dome) Does your occupation require extended periods of sitting?Does your occupation require extended periods of repetitive movements? (If yes, please explain)Does your occupation require you to wear shoes with a heel (dress shoes)? Psychological [ 1 = Poor | 2 = Fair | 3 = Good | 4 = Very Good | 5= Excellent ]Self-awareness12345CommentsLevel of confidence to complete the A race12345CommentsAbility to set goals and target12345CommentsAbility to follow through with goals12345CommentsUse of visualization/imagery to prepare for a race12345CommentsUse of self-talk/thought control12345CommentsAbility to pay attention/focus under stress12345CommentsAbility to endure peak sensation12345CommentsAbility to excel under pressure12345CommentsAbility to make decisions under stress12345CommentsConsistency12345CommentsAbility to take recovery days without guilt12345Comments Vision and Goal EstablishmentWrite out your personal vision in 1-4 sentences. This should be your vision of how you would like to live your life and can include things involved with sport and life in general.Please list your athletic dream goal (a goal that is a specific thing you determine is accomplishable, yet challenging, and come from your athlete vision). An example would be I hope to compete the IM Triathlon in 10 hours or less or I hope to finish a 40k time trail on my bike in less then 1 hour. Make sure to write this goal including a time frame for its completion and an objective outcome that is almost totally in your control.Please list 3-5 additional goals your hope to achieve over the course of your athlete career. These should be achievable in 3-10 yearsPlease list and describe your primary goal for the season you are asking for coaching and describe why the goal is important to you.Use the remaining space for any additional information regarding your goals that you would like to express to us.This year’s EventsPlease list the events you hope to race over the coming year. Check either A, B, or C next to each event to let us know how important that event is to you. A=-Peak, B- Fairly important, C=Fun and training Date Date Format: MM slash DD slash YYYY RaceLocationImportanceABCDate Date Format: MM slash DD slash YYYY RaceLocationImportanceABCDate Date Format: MM slash DD slash YYYY RaceLocationImportanceABCDate Date Format: MM slash DD slash YYYY RaceLocationImportanceABCFinal ThoughtsThis is the final section of the packet for you to list any thoughts, ideas or concerns you may have that you do not feel were covered, or that you would like to discuss with me after we have reviewed your packet.NameThis field is for validation purposes and should be left unchanged. Δ This iframe contains the logic required to handle Ajax powered Gravity Forms.