strong2thefinishline.com

strong2thefinishline.com

Athlete PARQ Form
Name*

First NameLast Name
Date of birth

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Email*
example@example.com
Emergency Contact Name*
Emergency contact number*
Medical History
Height
Weight
Resting Heart Rate
Resting Blood Pressure
Conditions/Chronic Diseases
Medications
Allergies
Injuries and/or surgeries.
Treatment for injuries.
What aggravate injuries?
Any health issues that would affect training?
History of medical issues during exercise? Example: black-outs, dizziness?
Athletic background:
Have you had a triathlon coach before? And for how long?
If your answer was yes for the above question, what prompted ending the relationship?
Please list bellow any triathlon races you have done, with your finishing times if possible.
How often do you swim and for how long each time?
Do you own a wetsuit and open water swim buoy?
Are you comfortable with open water swimming? If not, please explain your challenges:
Do you own a bike? Can you clip when you ride?
How often do you ride ? And how for how long each session? Indoors or out?
Are you comfortable in aero position?
How often do you run? And for how long?
Do you do any form of strength training?
Level of Fitness

Please describe your level of fitness for the items bellow:
Muscular strength.
Cardiovascular strength.
Flexibility.
Desceibe the available weekly hours for training:
Available number of hours in the AM
Available number of hours in the PM
Available number of hours on the weekend
Races:
Did you sign up for any races this year or next year? If yes, please list them bellow.
Goals and personality description:
Please describe your goals and tell us about yourself.
Please click what applies to you:
Type a question

Self confidentStrong sense of motivationInner desire to succeedNatural Goal SetterSelf disciplineOptimismSense of belongingNatural leaderWillingness to take criticismHumilityAbility to mange stressLow anxietyStrong sense of focusTrust in the processResiliency and ability to learn from setbacksVulnerabilityPerfectionismKiller instictWillingness to fightAppreciation and gratitude
Are you comfortable training with teammates?
Do you believe you are coachable? Any personality traits that you want to share?
In terms of commitment, where do you rate yourself (if you decided to do a project with others), you can be:

Somewhat CommittedCommittedVery CommittedAll out committed.
When are you ready to start training?
When is the best time to contact you?
Date

MonthDayYear
Date
Signature*

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