TriYourLimits: Certified Coaching, Training for Triathlon, Sprint Triathlon, and Ironman

Name
Street Address
City
State
Zip Code
Home Phone
Work Phone
Email
Age
Height
Weight
Please indicate if you have ever experienced any of the following health related conditions.
	Heart/Cardiovascular Disease
	Tendonitis
	Cancer
	Sprains/Strains
	Diabetes
	Broken Bones
	Asthma
	Allergies
	Arthritis
	Digestive Disorders
	Chronic Fatigue
	Sinus Problems
	Skin Conditions
	Other
Are you or have you ever been a smoker? Yes No
Are you currently taking any medication(s)? Yes No
Do you follow any particular dietary guidelines (such as vegetarian, Atkins, etc.)? Yes No
Do you eat at least three balanced meals per day? Yes No
Do you consume any caffeinated beverages regularly? Yes No
How much water do you consume each day? glasses
Do you use any nutritional supplements? Yes No
Training and Racing Information
How many years have you been a triathlete?
How many hours do you train during a typical week?
On average how much sleep do you get per night?
Along with other commitments such as work and family, what is the maximum amount of timeyou feel comfortable dedicating to training?
Do you prefer to do your longest workouts on weekends?
What do you feel is your weekest of the three triathlon disciplines?
Please explain:
Do you strength train? Yes No How often?
Do you stretch? Yes No How often?
Do you currently train with a heart monitor? Yes No
What, if any, events do you wish to train for?
Swim
How often per week do you swim?
What is the total yard/meter of an average swim workout?
What was your longest swim?
Bike
How often per week do you bike?
What is the total mileage of an average ride?
What was your longest ride?
Run
How often per week do you run?
What is the total mileage of an average run?
What was your longest run?
Misc
Would you consider training by time versus mileage/yardage? Yes No

Build a personalized training program around your goals, availability, capability and willingness.

Keep intact your strengths.

Decrease your weaknesses.

Enjoy the sport of triathlon.

Raise your fitness level.

Improve your skills.

Increase race performance.

Home
Mission
Biography
Contact
Programs
Forms
Photos
Links

610-791-3541

Training and Racing Information

Swim

Bike

Run

Misc

Build a personalized training program around your goals, availability, capability and willingness.

Keep intact your strengths.

Decrease your weaknesses.

Enjoy the sport of triathlon.

Raise your fitness level.

Improve your skills.

Increase race performance.