ET Athlete start up questionnaire Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email* Enter Email Confirm Email Cell phone number:* Age and Date of Birth* Weight*Height* Emergency Contact: Name/Relation/Phone* We enjoy getting to know our coached athletes. Please share some background info with us. Work, academics, family, sports played, other hobbies, home town, etc. This field is optional.Please list your top three goals*Please list your upcoming races or eventsPlease list key past races and events. Include dates.*What does your typical training week look like right now?*Please outline any special workout scheduling needs. This could be required days off from training, number of hours available to train each week, best days to do longer bike or run workouts, etc.*Please describe your current swim, bike and run workouts. Include your longest workouts (in # of hours, ie "ran 90 minutes"), and how many times per week you are doing swim, bike and run workouts.*Please describe your current strength training routine and frequency*Do you have a heart rate monitor watch? If so, what brand/model (ie. Garmin, 935).* Do you have a trainer to use for indoor bike riding? If so, what brand/model (ie Kinetic Fluid, Wahoo Snap, etc)* Do you have a power meter on your bike? If so, what brand/model (Quarq, Stages, Garmin Vector, etc)* Are you having any issues or discomfort with your bike? Were you professionally fitted to the bike and if so, by who?* When did you last purchase run shoes? About how many run miles on them?* Do you have a Training Peaks account?* Yes No If so, we'll link that to your new coach. If not, we'll create an account for you!Medical History. Please check any that apply to you Fainting, dizzy or unusually winded after exercise Coronary artery disease. High LDL cholesterol High blood pressure Chest, shoulder, neck or arm pain after exercise Diabetes, thyroid or chronic conditions Asthma or wheezing Prescription medicines Any condition that your doctor says limits your exercise Joint, back or any current injury Any other important medical issues to share? If you selected any of the above medical conditions, please provide additional detail below:Please review the ET Client Expectation Terms. Click here to view the Client Expectations documentI have reviewed and agree to the ET Client Expectations Terms* Yes No, I do not agree Please review the ET Waiver and Release. Click here to view the waiver and release documentI have reviewed and agree to the ET Waiver and Release* Yes No, I do not agree HiddenDo you have a heart rate monitor watch? If so, what brand/model (ie. Garmin, 935). 23685