Menu

Athlete Questionnaire

    Your Info

    Contact






    Address





    General Health

    Is this your normal weight? YesNo

    Condition / Chronic Diseases
    Please indicate if you have EVER had any of the following
    Diabetes YesNo
    Pneumonia YesNo
    Back/Joint Pain YesNo
    Heart Murmur YesNo
    Heart Disease YesNo
    Angina/Chest Pain YesNo
    Hepatitis YesNo
    High Blood Pressure YesNo
    Kidney infection YesNo
    Infectious Mono YesNo
    Head Injury YesNo
    Other? Please give further info

    Medical

     Please fill in any information you think is relevant

    Lifestyle

     Please give details of anything you think may affect schedules and training

    Dietary

    Please give details of anything you think may affect schedules and training

    Exercise Availability / Preferred Schedule

     Please indicate your availability
    Mon Tue Wed Thu Fri Sat Sun
    Minutes Available
    Runs/Cardio
    S&C (Strength+Conditioning)

    Psychological state

     Give yourself a value score in the following areas. Be honest with yourself, there are no right or wrong answers.
    Self awareness PoorFairGoodVery GoodExcellent
    Level of confidence to complete your main priority event PoorFairGoodVery GoodExcellent
    Ability to set goals and targets PoorFairGoodVery GoodExcellent
    Ability to follow through on set goals PoorFairGoodVery GoodExcellent
    Use of visualisation/imagery to prepare for a race PoorFairGoodVery GoodExcellent
    Use of self talk/thought control PoorFairGoodVery GoodExcellent
    Ability to pay attention/focus under stress PoorFairGoodVery GoodExcellent
    Ability to endure peak sensation PoorFairGoodVery GoodExcellent
    Ability to excel under pressure PoorFairGoodVery GoodExcellent
    Ability to make decisions under stress PoorFairGoodVery GoodExcellent
    Consistency PoorFairGoodVery GoodExcellent
    Ability to take recovery days without guilt PoorFairGoodVery GoodExcellent
    Any notes/comments on the above...

    Your Sport

    Complete all boxes that are relevant to your current goals

    Athletic History

     Please list any past Endurance Events completed: Runs, Sportives, Swims, OCRs or other
    Event Type When Time Rank/Position Notes/Comment

    Personal Best (PB)
    Event Time When Where
    5k
    10k
    Half Marathon
    Marathon
    Sprint Tri
    Olympic Tri
    Half IronMan
    IronMan
    Other
    Other
    Other
    Other

    Running

     Please fill in where appropriate
    Years Running
    Total weekly distance
    Weekly Frequency
    Longest run
    Do you plan your runs?
    Rate your run ability (1-5)
    What do you think are your limiters?
    What do you think are your strengths?

    OCRs

     Please fill in where appropriate
    Years Participating
    Longest OCR to date
    Do you have access to an OCR training facility?
    Rate your OCR ability (1-5)
    What do you think are your limiters?
    What do you think are your strengths?

    Swimming

     Please fill in where appropriate
    Years Participating
    Longest swim to date
    Do you have access to a swimming pool?
    Rate your swimming ability (1-5)
    What do you think are your limiters?
    What do you think are your strengths?

    Biking

     Please fill in where appropriate
    Years Biking
    Total weekly distance
    Longest ride to date
    Do you ride with a club?
    Do you plan your bike workouts
    Rate your Bike ability (1-5)
    What do you think are your limiters?
    What do you think are your strengths?
    What equipment do you own?

    Strength and Conditioning (S&C)
    Describe your current S&C program (include organised classes, frequency and duration of sessions etc)
    Which of the following equipment do you have access to (Please specify at home or via a gym)?
    Resistance Machines
    Cable Machines
    Dumbbells
    Kettlebells
    Barbells
    Medicine Balls
    Suspension Trainers
    Battleropes
    Please indicate any other equipment you have access to

    Other info

     Please use this space to give any other information you think will be useful, that isn’t included in this form.