ET Personal Coaching Start Up Document

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone (cell phone if possible)*

Email*

Enter Email Confirm Email

Age and Date of Birth*

Weight*

Height*

Emergency Contact: Name/Relation/Phone*

Please list your top three goals*

Please list key past races, dates, results*

Please list your planned races for the upcoming season*

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).*

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

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 document

I 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 document

I have reviewed and agree to the ET Waiver and Release*

Yes
No, I do not agree