Personal Training Consultation

1

Full Name* This field is required.

First Name

Last Name

2

Gender* This field is required.

Male

Female

Other

3

Age* This field is required.

years

4

Phone Number* This field is required.

5

Email* This field is required.

example@example.com

7

How many years have you been swimming?* This field is required.

9

How long have you been swimming competitively?

10

What events and/or strokes do you primarily swim?

11

Current / Most recent personal-best times (if applicable)

12

What are your primary swimming goals?* This field is required.

13

What specific events are you training for?

14

Do you have an upcoming race or meet? If yes, when?

16

Comments / Questions?

17

How many days a week do you currently swim?* This field is required.

18

Approximately how many yards/meters do you swim per week?* This field is required.

19

How long is a typical workout?* This field is required.

20

Do you participate in other training (strength, running, cycling, etc.)?* This field is required.

21

Where do you primarily train?* This field is required.

Pool

Open Water

Both

23

Do you have consistent access to a pool?* This field is required.

YESNO

24

Comments / Questions?