Personal Information
First Name
Last Name
Address
City
State
Zip
Home Phone
Work Phone
Email
Whom referred you to the Wilson Coaching Group?
Height
Weight
Birthdate
feet
inches
pounds
/
/
Occupation
Any Health Related Problems?
Goals & Athletic Background
This Seasons 'A' Race
Other Races Scheduled For This Season So Far
Swimming
Number of times you currently swim per week
Do you have access to open water for swimming?
Yes
No
Do you belong to a Master's swim program?
Yes
No
Average pace for 100 m or yd
Cycling
Current average weekly mileage
Do you own an indoor training device?
Yes
No
If so What type?
Do you own a wattage measurement device I.e Powertap etc.
Yes
No
Does your bike computer have a cadence feature
Yes
No
Do you belong to a cycling club?
Running
Do you belong to a running club?
Average weekly mileage
Average longest run each week
How often do you run?
Best 10km time
Other Information
Do you own a heart rate monitor?
Yes
No
Does your HRM Interface with your PC?
Yes
No
Have you had a blood drawn LT test in the last 6 months
Yes
No
Cycling results
Running results:
Best ever Olympic race
Name
Location
Year
Time
Best ever half IM race
Name
Location
Year
Time
Best ever IronMan race
Name
Location
Year
Time
What is your typical available time to train per day:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Please add any thoughts you may have that would help the coaches
